解答つき臨床看護学ワークシート

A medicine given "transdermally" is given:

1. AThrough the skin, usually from a patch
2. BInto the rectum
3. CInto a muscle
4. DUnder the tongue, where it dissolves

Which of these is an open question?

1. A"Are you in any pain at the moment?"
2. B"How are you feeling about your operation?"
3. C"Have you taken your tablets?"
4. D"Did you sleep well in the ward last night?"

カテーテル関連尿路感染症を減らす重要な看護の対策は？

1. A蓄尿バッグを患者の膀胱より高い位置に保つ
2. Bバッグを頻繁に外す
3. C不要になったらできるだけ早くカテーテルを抜去する
4. Dカテーテルを毎日交換する

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

When a patient returns to the ward from theatre, what should the nurse assess first?

1. AThe patient's dietary preferences for the next meal
2. BWhether visitors are waiting to see the patient
3. CAirway, breathing, circulation and level of consciousness
4. DThe discharge date

Which is a major risk factor for Clostridioides difficile infection?

1. ARegular exercise
2. BTaking regular paracetamol
3. CRecent broad-spectrum antibiotic use
4. DA diet high in fibre and fresh fruit

A patient taking dapagliflozin is vomiting and unwell, with high blood ketones and a blood glucose of only 11 mmol/L (198 mg/dL). What should be suspected?

1. ASimple gastroenteritis with no further concern
2. BHyperosmolar hyperglycaemic state
3. CEuglycaemic diabetic ketoacidosis
4. DHypoglycaemia

高齢の患者が夜のうちに急に混乱し、注意力が変動しています。まず調べるべき原因は？

1. A周囲への関心の欠如
2. B感染や薬など、背景にある問題によるせん妄
3. C正常な加齢
4. Dアルツハイマー病の突然の発症