解答つき臨床看護学ワークシート

低血糖に典型的な症状はどれですか？

1. A温かく乾いた皮膚と遅い脈
2. Bフルーツのような息のにおいを伴う深く速い呼吸
3. C強いのどの渇きと多尿
4. D発汗、ふるえ、混乱

Cellulitis is:

1. AA fungal infection of the skin between the toes only
2. BA bacterial infection of the deeper skin and the tissue beneath it
3. CA blocked sweat gland
4. DAn allergic rash caused by a reaction to soap or washing powder

Which of these is a modifiable risk factor for coronary heart disease?

1. AMale sex
2. BSmoking
3. CFamily history
4. DAge

新しく造設した結腸ストーマが術後 2 日目に暗紫色から黒色に見えます。これは何を示していますか？

1. A正常で健康なストーマ
2. B対応不要の、ストーマの術後の正常な内出血
3. Cストーマの虚血の可能性があり、至急の評価が必要
4. D便秘

A nurse gives a patient analgesia for post-operative pain. What should be done next?

1. AWait until the next shift before asking the patient about the pain
2. BReassess the pain and any side effects once the drug has had time to work
3. CGive a second analgesic straight away just in case
4. DAssume the pain has gone if the patient is quiet and has their eyes closed

Why are patients advised to rinse their mouth after using an inhaled corticosteroid?

1. ATo make the drug work faster
2. BTo prevent tooth decay from the sugar in it
3. CTo reduce the risk of oral thrush
4. DTo stop the drug from being absorbed in the lungs

A patient has a blood pressure of 220/130 mmHg with headache, confusion and visual disturbance. Why is the blood pressure lowered in a controlled way rather than as fast as possible?

1. ARapid lowering causes hyperglycaemia
2. BBlood pressure cannot be lowered with drugs
3. CRapid lowering always causes the hypertension to come back much worse
4. DA sudden drop can reduce blood flow to the brain, heart and kidneys

術後の患者の心拍数は 115 回/分、体温 38.6 °C、呼吸数 26 回/分で、輸液の急速投与にもかかわらず血圧は 85/50 mmHg です。最も示唆するのは？

1. A軽い脱水のみ
2. B退院への不安
3. C手術後の最初の数日間にみられる正常な炎症反応
4. D至急の集中治療の評価が必要な敗血症性ショック