解答つき臨床看護学ワークシート

患者の褥瘡発生リスクの評価に使うツールは？

1. Aミニメンタルステート検査
2. Bブレーデンスケールやウォーターロースケール
3. Cアプガースコア
4. Dグラスゴー・コーマ・スケール

The term "haematuria" means:

1. ABlood in the urine
2. BBlood in the sputum
3. CBlood in the vomit
4. DBlood in the stool

What are the two most common causes of peptic ulcers?

1. AHelicobacter pylori infection and NSAID use
2. BSpicy food and emotional stress on their own
3. CViral infection of the stomach and dehydration
4. DLow fibre intake and lack of exercise

Why are people with diabetes advised to have regular eye screening?

1. ATo measure their blood glucose through the eye
2. BTo check whether they need reading glasses for close work
3. CTo prevent conjunctivitis
4. DTo detect diabetic retinopathy early, before sight is lost

Which of these is one of the "4 Hs", the reversible causes of cardiac arrest?

1. AHypertension
2. BHyperthyroidism
3. CHypoxia
4. DHyperventilation

A patient with dysphagia after a stroke has been cleared for a modified diet. How should they be positioned for meals?

1. ALying flat on their back with the head turned to one side
2. BSitting fully upright, and staying upright for a time after eating
3. CSemi-reclined at about 20 degrees, with the head supported on pillows
4. DLying on their side with the knees bent

頭部外傷の患者の GCS が 14 から 10 に下がり、片方の瞳孔が大きくなって対光反射が遅くなりました。看護師はどうすべきですか？

1. A患者を落ち着かせるために鎮静薬を与える
2. B患者に眠るよう勧める
3. C次の定時観察で GCS を再確認する
4. D神経学的緊急事態としてただちにエスカレーションする

An older patient found on the floor after lying there for many hours has dark brown urine and a very high creatine kinase. What is the main risk?

1. AHypoglycaemia
2. BAcute kidney injury from rhabdomyolysis
3. CA urinary tract infection from lying in urine
4. DA stroke