解答つき臨床看護学ワークシート

尿路感染症に典型的な所見は？

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

Which sign is typical of right-sided heart failure?

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

What is the normal pH range of arterial blood?

1. A7.00–7.10
2. B6.85–6.95
3. C7.55–7.65
4. D7.35–7.45

Which type of painkiller should a patient with liver cirrhosis usually avoid?

1. AHot packs applied to a painful joint
2. BLocal anaesthetic creams
3. CNon-steroidal anti-inflammatory drugs such as ibuprofen
4. DParacetamol (acetaminophen), given in a carefully reduced and monitored dose

For a patient in skin traction on the leg, which is correct?

1. AThe rope is tied to the bed frame to keep it still
2. BThe weights rest on the floor overnight
3. CThe weights are removed whenever the patient feels uncomfortable
4. DThe weights hang freely and do not rest on the bed or floor

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

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

術後の患者の心拍数は 115 回/分、体温 38.6 °C、呼吸数 26 回/分で、輸液の急速投与にもかかわらず血圧は 85/50 mmHg です。最も示唆するのは？

1. A退院への不安
2. B至急の集中治療の評価が必要な敗血症性ショック
3. C手術後の最初の数日間にみられる正常な炎症反応
4. D軽い脱水のみ

A patient with a COPD exacerbation remains acidotic with a high PaCO₂ despite optimal medical treatment and controlled oxygen. Which treatment is usually considered next?

1. AStopping all oxygen therapy
2. B15 L/min oxygen via a non-rebreathe mask
3. CNon-invasive ventilation
4. DSedation to slow the breathing