解答つき臨床看護学ワークシート

An ileostomy is an opening onto the abdominal wall from the:

1. ABladder
2. BColon (large intestine)
3. CStomach
4. DIleum (small intestine)

Before moving or handling a patient, what should the nurse do first?

1. ABend at the waist and keep the knees straight
2. BAssess the risks and choose the right equipment and number of staff
3. CAsk the patient's relative to help lift them to save time
4. DLift the patient quickly before they become tired or anxious

Long-term uncontrolled high blood pressure increases the risk of:

1. AAnaemia and osteoporosis
2. BStroke, heart attack and kidney disease
3. CHypothyroidism, gout and hair loss
4. DAsthma, eczema and hay fever

What is one advantage of a direct oral anticoagulant (DOAC) such as apixaban compared with warfarin?

1. AIt is safe in all patients with severe kidney failure
2. BIt does not need routine INR monitoring
3. CIt has no risk of bleeding
4. DIt never interacts with other drugs

Why must levodopa for Parkinson's disease be given at the exact times prescribed in hospital?

1. AThe drug only works if taken at midnight
2. BDelays can quickly worsen rigidity, immobility and swallowing
3. CEarly doses cause severe low blood glucose and sweating attacks
4. DLate doses cause dangerous high potassium

Which mask is required for staff during an aerosol-generating procedure on a patient with a respiratory infection spread by aerosols?

1. AA cloth face covering
2. BNo mask, as long as gloves are worn
3. CA standard fluid-repellent surgical mask with a visor
4. DA fit-tested respirator mask (such as FFP3 or N95)

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日焼け。クリームを塗って続ける
2. B正常な反応。投与速度を上げる
3. C肝不全。すべての薬を永久に中止する
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

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

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