解答つき臨床看護学ワークシート

Which sign is typical of right-sided heart failure?

1. APinpoint pupils, drowsiness and a slow breathing rate
2. BSwollen ankles and a raised jugular venous pressure
3. CCrackles in both lungs and pink frothy sputum
4. DA high fever with rigors

Stress urinary incontinence is leakage of urine:

1. ACaused by a blocked catheter
2. BWhen coughing, sneezing or lifting
3. COnly during sleep
4. DOnly when feeling anxious or upset

What is the aim of aseptic non-touch technique (ANTT)?

1. ATo make every procedure completely sterile
2. BTo protect key parts and key sites from contamination
3. CTo avoid needing to wash hands
4. DTo allow procedures to be done without gloves in all cases

Which adverse effects should be monitored for in a patient receiving IV gentamicin?

1. AHair loss and weight gain
2. BConstipation and urinary retention
3. CKidney damage and hearing loss
4. DHyperglycaemia and tremor

Which features suggest Cushing's syndrome?

1. AWeight gain around the trunk, a rounded face and thin, easily bruised skin
2. BWeight loss, heat intolerance, tremor and protruding eyes
3. CCoarse facial features and very large hands and feet
4. DDark skin, low blood pressure, salt craving and a low blood sodium level

Which side effect is common when a patient starts taking metformin?

1. ARapid weight gain
2. BNausea, abdominal discomfort or diarrhoea
3. CHypoglycaemia in most patients who take it
4. DSevere headache

バンコマイシンの点滴静注中の患者が、急速な投与中に顔と首の紅潮とかゆみのある赤い発疹を起こしました。最も考えられる原因と対応は？

1. A肝不全。すべての薬を永久に中止する
2. B正常な反応。投与速度を上げる
3. C日焼け。クリームを塗って続ける
4. D投与関連反応。点滴を止めるか遅くし、処方者に伝える

中心静脈カテーテルのある患者が、座った姿勢でラインを外している最中に突然息苦しくなり、低血圧になりました。最も考えられる合併症は？

1. A空気塞栓
2. B低血糖
3. C肺炎
4. D静脈炎