解答つき臨床看護学ワークシート

The term "pallor" means:

1. ABluish fingertips
2. BA red, raised rash
3. CAbnormal paleness of the skin
4. DYellowing of the skin and eyes

静脈カニューレの刺入部で静脈炎を示唆するサインは？

1. A静脈に沿った発赤、痛み、腫脹
2. B痛みのない正常な皮膚
3. C患者がのどの渇きを訴える
4. D刺入部から離れた皮膚が青白く冷たい

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

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

Which statement about storing insulin is correct?

1. AInsulin never expires once opened
2. BUnopened insulin is kept in the fridge and must not be frozen
3. CAll insulin should be stored in the freezer to keep it fresh
4. DInsulin should be kept in direct sunlight

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

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

心不全の患者にピンク色の泡状の痰があり、両肺全体で断続性ラ音が聞こえます。何が起きていますか？

1. A喘息発作
2. B急性肺水腫
3. C上部消化管出血
4. D気胸

A few hours after cardiac surgery, a patient has low blood pressure, a raised jugular venous pressure and quiet, muffled heart sounds. What should be suspected?

1. ACardiac tamponade
2. BHypovolaemia from dehydration
3. CHyperkalaemia
4. DPneumonia

After a head injury, a patient passes very large volumes of dilute urine and the serum sodium is rising. What is most likely?

1. ASyndrome of inappropriate ADH secretion
2. BDiabetes mellitus
3. CAcute kidney injury
4. DDiabetes insipidus