解答つき臨床看護学ワークシート

Pain from gallstones (biliary colic) is typically felt in which area?

1. AThe right upper abdomen, often after a fatty meal
2. BThe lower back on the left, when walking
3. CBehind the left knee
4. DThe left lower abdomen, usually after drinking water

The term "oliguria" means:

1. APainful urination
2. BA low urine output
3. CPassing urine at night
4. DBlood in the urine

Which blood test is most commonly used to confirm damage to the heart muscle in a suspected heart attack?

1. AAmylase
2. BD-dimer
3. CBilirubin
4. DTroponin

Why is lactulose given to a patient with hepatic encephalopathy?

1. ATo lower the blood glucose
2. BTo stop bleeding from varices
3. CTo increase the liver's production of albumin
4. DTo reduce the absorption of ammonia from the gut

Which group of symptoms suggests hypercalcaemia?

1. ASweating, tremor and sudden hunger
2. BTingling lips, muscle cramps and spasms of the hands and feet
3. CThirst, constipation, confusion and abdominal pain
4. DWeight gain, feeling cold and a slow pulse

1 型糖尿病の患者が嘔吐し、ほとんど食べていません。正しいシックデイの助言は？

1. A嘔吐を防ぐために水分摂取を半分にする
2. B血糖の確認は 1 日 1 回だけにする
3. C低血糖を避けるため、普通に食べられるようになるまでインスリンを中止する
4. Dインスリンを中止せず、血糖とケトンをより頻繁に確認する

A conscious patient with hypoglycaemia was given fast-acting carbohydrate. On re-check 15 minutes later the blood glucose is 3.6 mmol/L (65 mg/dL). What should the nurse do next?

1. AGive a dose of subcutaneous insulin
2. BTake no action because the level is rising
3. CGive another dose of fast-acting carbohydrate and recheck
4. DGive a long-acting carbohydrate snack only and recheck tomorrow

水封式の胸腔ドレーンの管理で正しいものは？

1. A排液を捨てるためボトルを患者より高く持ち上げる
2. B移動やベッド移乗のたびに、日常的にチューブをクランプする
3. C排液ボトルを胸の高さより低く保つ
4. Dこぼれないようにボトルの水を捨てる