解答つき臨床看護学ワークシート

寝たきりの患者の褥瘡を防ぐ最も重要な対策は？

1. A一日中同じ体位を保つこと
2. B水分を制限すること
3. C赤くなった部分を強くマッサージすること
4. D圧迫を除くための定期的な体位変換

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

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

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

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

肝硬変の患者が混乱して眠そうになり、手に羽ばたき振戦があります。考えられる合併症は？

1. A肝性脳症
2. B脳卒中
3. Cアルコール中毒のみ
4. Dインスリンによる低血糖

A dying patient can no longer drink and has a dry mouth. What is the most appropriate nursing care?

1. AInserting a nasogastric tube for fluids
2. BLeaving the mouth alone to avoid disturbing them
3. CFrequent mouth care that keeps the lips and mouth moist
4. DStarting a fast intravenous infusion to correct the dryness

A patient is having a 12-lead ECG. Where are the chest electrodes placed?

1. AAnywhere on the chest where the skin is clear
2. BIn a straight line down the centre of the sternum from top to bottom
3. COn both shoulders and both hips only
4. DIn standard numbered positions across the front and left of the chest

心原性ショックと循環血液量減少性ショックを最もよく区別する所見の組み合わせは？

1. A頸静脈圧の上昇と肺の断続性ラ音
2. B頻脈、低血圧、弱くて糸のような末梢脈拍
3. C冷たく青白い皮膚
4. D尿量の減少

A healthcare assistant reports four observations. Which one needs the nurse's immediate action?

1. A"Mr Chen's blood pressure is 128/80 as usual."
2. B"Mr Patel's breathing rate is 8 a minute and he's hard to wake."
3. C"Ms Ali has walked to the bathroom on her own."
4. D"Mrs Jones would like a cup of tea and her glasses cleaned."