解答つき臨床看護学ワークシート

Which of these is one of the WHO "5 Moments for Hand Hygiene"?

1. AOnly after removing gloves at the end of a shift
2. BBefore touching a patient
3. CBefore entering the hospital building
4. DOnly when the hands look visibly dirty

臨床の申し送りで SBAR は何を表しますか？

1. A状況（Situation）、背景（Background）、評価（Assessment）、提案（Recommendation）
2. B要約（Summary）、ベッドサイド（Bedside）、行動（Action）、見直し（Review）
3. C症状（Symptoms）、血圧（Blood pressure）、気道（Airway）、呼吸数（Respiratory rate）
4. D安全（Safety）、呼吸（Breathing）、覚醒度（Alertness）、リスク（Risk）

The term "hemiplegia" means:

1. AParalysis of one side of the body
2. BWeakness of the facial muscles only
3. CParalysis of all four limbs
4. DParalysis of both legs

Why is continuous bladder irrigation used after a transurethral resection of the prostate (TURP)?

1. ATo give antibiotics directly into the kidneys
2. BTo measure the patient's kidney function
3. CTo stretch the bladder back to its normal size
4. DTo stop blood clots from blocking the catheter

A patient's low potassium does not improve despite potassium replacement. Which other electrolyte should be checked?

1. APhosphate
2. BMagnesium
3. CSodium
4. DChloride

2 型糖尿病の患者が急に具合が悪くなり、強い脱水があり、血糖は 40 mmol/L ですが、ケトンはほとんどありません。最も考えられる診断は？

1. A低血糖
2. B高浸透圧高血糖状態
3. C尿崩症
4. D脱水を伴う糖尿病性ケトアシドーシス

A nurse phones a doctor about a deteriorating patient using SBAR. Which statement belongs in the "R" section?

1. A"He was admitted three days ago with pneumonia."
2. B"I am calling about Mr Smith, who is breathless."
3. C"Please review him within the next 15 minutes."
4. D"His blood pressure is 85/50 and he is confused."

A nurse teaches a patient with asthma about a new inhaled steroid "preventer". Which statement shows a need for further teaching?

1. A"I will rinse my mouth after using it."
2. B"I will use it every day even when I feel well."
3. C"I'll keep my reliever inhaler with me."
4. D"I will only use it when I'm wheezy."