解答つき臨床看護学ワークシート

A patient's care plan says "nil by mouth". What does this mean?

1. AOnly clear fluids such as water and black tea are allowed
2. BThe patient may eat if they feel hungry
3. CNo food or drink by mouth unless specific exceptions are prescribed
4. DFood is allowed, but drinks must be stopped until the next day

Which of these is one of the WHO "5 Moments for Hand Hygiene"?

1. AOnly after removing gloves at the end of a shift
2. BOnly when the hands look visibly dirty
3. CBefore entering the hospital building
4. DBefore touching a patient

経鼻胃管の位置をベッドサイドで確認する一般的な方法は？

1. Aチューブの先をコップの水に入れる
2. B聴診器で空気の音を聞く（「気泡音テスト」）
3. C吸引した液の pH を調べる
4. D患者に咳をしてもらう

Which tool is commonly used at the bedside to screen for delirium?

1. AThe Braden scale
2. BThe Malnutrition Universal Screening Tool
3. CThe Confusion Assessment Method (CAM)
4. DThe Glasgow-Blatchford score

Which oxygen device delivers a precise, fixed concentration of oxygen?

1. ANon-rebreathe mask
2. BVenturi mask
3. CNasal cannula
4. DSimple face mask

Which is a recognised risk factor for postoperative nausea and vomiting?

1. ABeing male
2. BBeing a smoker
3. CUse of opioids after surgery
4. DA short operation under local anaesthetic

輸血を始めてまもなく、患者が息苦しくなり、喘鳴、低血圧、顔のむくみが出ました。看護師がまず行うべきことは？

1. A輸血を止め、静脈路を確保したまま至急助けを呼ぶ
2. B輸血の速度を落とし、1 時間後にバイタルサインを再確認する
3. Cアセトアミノフェンと抗ヒスタミン薬を与えて輸血を続ける
4. D曝露時間をできるだけ短くするため、残りを急いで入れ終える

A patient going home after chemotherapy is taught about infection. Which statement shows a need for further teaching?

1. A"I will wash my hands well before eating and after using the toilet."
2. B"I will phone the helpline if I have a fever or shivering."
3. C"I will check my temperature if I feel unwell or shivery at home."
4. D"If I get a temperature, I'll take paracetamol and wait until my next clinic."