解答つき臨床看護学ワークシート

A pressure ulcer with partial-thickness skin loss, seen as a shallow open wound or an intact blister, is which category (stage)?

1. ACategory 4
2. BCategory 2
3. CCategory 3
4. DCategory 1

略語 DVT は何を意味しますか？

1. A拡張した心室路
2. B拡張期静脈緊張
3. C深部静脈血栓症
4. D直接血管治療

Drugs whose names end in "-olol", such as bisoprolol, belong to which class?

1. AACE inhibitors
2. BBeta-blockers
3. CStatins
4. DCalcium channel blockers

Compared with a colostomy, a patient with an ileostomy is at greater risk of:

1. AHard stools, straining and constipation from slow transit
2. BDehydration and electrolyte loss from liquid output
3. CLow blood glucose after meals
4. DUrinary retention

How should a nurse communicate with a patient who has impaired hearing?

1. ATalk to the patient's relative instead of to the patient directly
2. BShout loudly from the end of the bed so they can hear
3. CSpeak very quickly to save time
4. DFace the patient, speak clearly and reduce background noise

A nurse finds a patient lying on the floor beside the bed. What should be done first?

1. ACheck the patient for injuries before moving them
2. BLift the patient straight back into bed so they are comfortable
3. CComplete the incident report form
4. DPhone the patient's family

患者の血液検査でカリウムが 6.8 mmol/L、心電図で尖った T 波がみられます。最も早く心臓を守る治療は？

1. A翌日のフロセミド錠
2. B経口カリウム補充
3. Cグルコン酸カルシウムの静注
4. D低カリウム食だけ

Soon after starting chemotherapy for a high-grade lymphoma, a patient has rising potassium, phosphate and uric acid with falling urine output. What is the most likely cause?

1. ASyndrome of inappropriate ADH secretion
2. BAdrenal insufficiency
3. CTumour lysis syndrome
4. DRefeeding syndrome