解答つき臨床看護学ワークシート

The term "hemiplegia" means:

1. AParalysis of all four limbs
2. BParalysis of one side of the body
3. CWeakness of the facial muscles only
4. DParalysis of both legs

If a blood pressure cuff is too small for the patient's arm, the reading will tend to be:

1. AAccurate
2. BFalsely high
3. CFalsely low
4. DImpossible to obtain

After a stroke, a patient has "aphasia". What does this mean?

1. AWeakness of one side of the body
2. BDifficulty swallowing food, drink and saliva
3. CLoss of vision in one eye
4. DDifficulty understanding or producing language

高齢の患者が病棟で転倒のリスクが高い状態です。最も適切な看護行為は？

1. A患者を常にベッド上に制限する
2. Bすべての患者に自動的にベッド柵を使う
3. Cナースコールと持ち物を手の届くところに置き、眠気を起こす薬を見直す
4. D壊れないように患者の眼鏡を外しておく

1 型糖尿病の患者で、血糖 25 mmol/L、深く速い呼吸、尿ケトン陽性です。考えられる診断は？

1. A糖尿病ケトアシドーシス
2. B低血糖
3. C正常な血糖の変動
4. Dケトンを伴わない高浸透圧高血糖状態

Why is an ankle–brachial pressure index (ABPI) measured before applying compression bandages to a leg ulcer?

1. ATo exclude significant arterial disease, as compression could cut off blood flow
2. BTo measure how deep the ulcer is and how much exudate it produces
3. CTo check for a urinary tract infection that could delay ulcer healing
4. DTo work out the patient's fluid needs

An older man has sudden severe abdominal and back pain, is hypotensive and has a pulsating mass in the abdomen. What should be suspected?

1. AA ruptured abdominal aortic aneurysm
2. BAcute gastritis from anti-inflammatory drugs
3. CRenal colic from a kidney stone
4. DMusculoskeletal back pain

A patient with diabetes is found confused with slurred speech and weakness on one side. What should the nurse check first?

1. ACapillary blood glucose
2. BSerum cholesterol
3. CUrine output for the last day
4. DBody mass index