解答つき臨床看護学ワークシート

What is a typical SpO₂ in a healthy adult at rest breathing room air?

1. AAbout 85–88%
2. BAbout 60–70%
3. CAbout 95–100%
4. DAbout 75–80%

If a blood pressure cuff is too small for the patient's arm, the reading will tend to be:

1. AAccurate
2. BImpossible to obtain
3. CFalsely high
4. DFalsely low

Which of these is one of the "rights" of safe medication administration?

1. ARight nurse on duty
2. BRight route
3. CRight bed number
4. DRight brand of packaging

新しく造設した結腸ストーマが術後 2 日目に暗紫色から黒色に見えます。これは何を示していますか？

1. A正常で健康なストーマ
2. B便秘
3. Cストーマの虚血の可能性があり、至急の評価が必要
4. D対応不要の、ストーマの術後の正常な内出血

Which group of features is typical of nephrotic syndrome?

1. APolyuria, thirst and weight loss
2. BSevere loin pain and fever
3. CHeavy proteinuria, low serum albumin and oedema
4. DBlood in the urine, high blood pressure and reduced urine output only

How is Helicobacter pylori infection usually treated?

1. AA single dose of paracetamol and a bland diet for a week
2. BAntacids alone, taken after every meal for a month
3. CA combination of antibiotics with a proton pump inhibitor
4. DSurgery to remove the stomach

A hypotensive postoperative patient is given a fluid bolus. Which findings suggest a good response?

1. AThe respiratory rate rises and new lung crackles appear
2. BThe heart rate falls, blood pressure rises and urine output improves
3. CThe heart rate rises further and the patient becomes more confused
4. DThe capillary refill time becomes longer

髄膜炎が疑われる患者に発熱、項部硬直、消退しない発疹があります。優先すべきことは？

1. A至急の診察と、検査を待たない即時の抗菌薬投与
2. B熱にアセトアミノフェンを与えて明日診察する
3. C治療を始める前に腰椎穿刺の結果を待つ
4. D照明を落として休ませ、4 時間後にバイタルサインを再確認する