解答つき臨床看護学ワークシート

Stridor, a harsh noise heard mainly on breathing in, is a sign of:

1. ANormal breathing during sleep
2. BFluid collecting in the bases of both lungs
3. CMild constipation
4. DNarrowing or obstruction of the upper airway

成人で脱水を示唆するサインは？

1. A口の潤い、薄い尿、正常な脈拍
2. B2 日間での体重増加
3. C口の乾き、濃く濃縮された尿、頻脈
4. D足首のむくみ、肺の断続性ラ音、頸静脈圧の上昇

The term "haemoptysis" means:

1. AA nosebleed
2. BCoughing up blood
3. CPassing blood in the urine
4. DVomiting blood

A patient with COPD and known carbon dioxide retention needs a nebulised bronchodilator. How should it usually be given?

1. AWithout monitoring oxygen saturation
2. BOnly with the patient lying flat
3. CDriven by high-flow oxygen at 15 L/min for as long as possible
4. DDriven by compressed air, with oxygen given separately if needed

Which adverse effects should be monitored for in a patient receiving IV gentamicin?

1. AConstipation and urinary retention
2. BHyperglycaemia and tremor
3. CKidney damage and hearing loss
4. DHair loss and weight gain

A patient receives IV furosemide for fluid overload. Which findings show the treatment is working?

1. AIncreased urine output, less breathlessness and a falling weight
2. BA rise in blood pressure and a new cough
3. CA rise in weight and more lung crackles
4. DFalling urine output, new ankle swelling and a rise in weight

A patient's hypoglycaemia was caused by a sulfonylurea such as gliclazide or glipizide. Why might they need monitoring for longer than usual?

1. AThe drug makes glucose tablets and drinks ineffective
2. BSulfonylureas only work at night
3. CSulfonylureas act for a long time, so hypoglycaemia can recur
4. DThe drug causes rebound hyperglycaemia later the same day

髄膜炎が疑われる患者に発熱、項部硬直、消退しない発疹があります。優先すべきことは？

1. A熱にアセトアミノフェンを与えて明日診察する
2. B照明を落として休ませ、4 時間後にバイタルサインを再確認する
3. C至急の診察と、検査を待たない即時の抗菌薬投与
4. D治療を始める前に腰椎穿刺の結果を待つ