解答つき臨床看護学ワークシート

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

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

手足にギプスを巻いた後、定期的に行うべき観察は？

1. Aギプスより末梢の神経・血管の観察
2. Bピークフローの測定
3. C視力検査
4. D聴力検査

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

1. ABeta-blockers
2. BACE inhibitors
3. CStatins
4. DCalcium channel blockers

ワルファリンを使用中の患者の INR が目標範囲を大きく超え、あざができています。作用を拮抗するために処方されうる薬は？

1. Aアスピリン
2. Bプロタミン硫酸塩
3. Cナロキソン
4. Dビタミン K

Modern wound care generally aims to keep a healing wound bed:

1. ACompletely dry and open to the air
2. BSoaked in antiseptic solution every day
3. CMoist but not wet
4. DTightly packed with dry gauze

Which measure helps reduce the risk of surgical site infection?

1. ALeaving the patient cool during surgery to slow bacterial growth
2. BShaving the area with a razor the night before surgery
3. CChanging the wound dressing every hour
4. DRemoving hair, if needed, with clippers rather than a razor

A few hours after cardiac surgery, a patient has low blood pressure, a raised jugular venous pressure and quiet, muffled heart sounds. What should be suspected?

1. AHypovolaemia from dehydration
2. BPneumonia
3. CHyperkalaemia
4. DCardiac tamponade

During a blood transfusion, an older patient with heart failure becomes breathless with a rising blood pressure, raised JVP and crackles in the lungs. What is the most likely cause?

1. ATransfusion-associated circulatory overload
2. BTransfusion-related acute lung injury with hypotension
3. CAnaphylaxis
4. DA febrile non-haemolytic reaction