解答つき臨床看護学ワークシート

What is the usual normal range for serum potassium in adults (in mmol/L, numerically equal to mEq/L)?

1. AAbout 135–145 mmol/L
2. BAbout 3.5–5.0 mmol/L
3. CAbout 1.5–2.5 mmol/L
4. DAbout 6.5–8.0 mmol/L

患者の尿量を観察しています。成人で目標としてよく使われる 1 時間あたりの最低尿量は？

1. A1 kg あたり 1 時間に約 0.05 mL
2. B1 kg あたり 1 時間に約 5 mL
3. C1 日に少しでも尿が出ていれば何 mL でもよい
4. D体重 1 kg あたり 1 時間に約 0.5 mL

尿路感染症に典型的な所見は？

1. A耳鳴り
2. B排尿時の灼熱感と頻尿
3. C両足首と下腿のむくみ
4. D黒色便

Why is an ankle–brachial pressure index (ABPI) measured before applying compression bandages to a leg ulcer?

1. ATo measure how deep the ulcer is and how much exudate it produces
2. BTo work out the patient's fluid needs
3. CTo check for a urinary tract infection that could delay ulcer healing
4. DTo exclude significant arterial disease, as compression could cut off blood flow

A patient with COPD and known carbon dioxide retention needs a nebulised bronchodilator. How should it usually be given?

1. AWithout monitoring oxygen saturation
2. BDriven by compressed air, with oxygen given separately if needed
3. COnly with the patient lying flat
4. DDriven by high-flow oxygen at 15 L/min for as long as possible

What is the recommended first aid for a thermal burn?

1. AApply ice directly to the burn until the pain stops completely
2. BSpread butter or oil over the burn
3. CCool it under cool running water for about 20 minutes
4. DBurst any blisters to release the fluid

During a general anaesthetic, a patient develops a rapidly rising temperature, muscle rigidity and rising carbon dioxide levels. What should be suspected?

1. AA normal response to surgery
2. BMalignant hyperthermia
3. CPostoperative infection
4. DNeuroleptic malignant syndrome from antipsychotics

死期が迫った患者が意識を失っており、のどの分泌物によるゴロゴロした騒がしい呼吸をしています。適切な対応は？

1. A患者が窒息しており人工呼吸が必要だと家族に伝える
2. B夜通し 10 分ごとに深い口腔咽頭吸引を始める
3. C体位を変え、処方された分泌抑制薬を検討し、家族を支える
4. D分泌物を薄めて除くため、急速な静脈内輸液を始める