解答つき臨床看護学ワークシート

無料で印刷できる臨床看護学のワークシート：やさしい問題から試験レベルまで 8 問、解答つき。印刷するか PDF で保存できます。

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名前: ____________________   日付: ____________

1.やさしい

重症 COPD の患者で、より低い酸素飽和度の目標（88～92%）がよく使われるのはなぜですか？

  1. Aこうした患者の一部では、高流量の酸素が二酸化炭素の貯留を起こすことがあるから
  2. B肺がまったく酸素を吸収できないから
  3. C酸素は COPD のときだけ燃えやすいから
  4. D酸素が胸の痛みを悪化させるから
2.やさしい

What is the Bristol Stool Chart used for?

  1. AMeasuring how much food a patient eats each day
  2. BScoring the risk of pressure ulcers
  3. CRecording the frequency of urination
  4. DClassifying the form and consistency of stools
3.やさしい

What is the usual normal range for serum sodium in adults (in mmol/L, numerically equal to mEq/L)?

  1. A2.2–2.6 mmol/L
  2. B3.5–5.0 mmol/L
  3. C135–145 mmol/L
  4. D95–105 mmol/L
4.ふつう

During a vesicant chemotherapy infusion, the patient reports burning and swelling at the cannula site. What should the nurse do first?

  1. AApply a warm pack and continue the infusion
  2. BStop the infusion straight away and follow the extravasation protocol
  3. CIncrease the rate so that the infusion finishes as quickly as possible
  4. DFlush the cannula hard with saline
5.ふつう

A patient receives IV furosemide for fluid overload. Which findings show the treatment is working?

  1. AFalling urine output, new ankle swelling and a rise in weight
  2. BA rise in blood pressure and a new cough
  3. CIncreased urine output, less breathlessness and a falling weight
  4. DA rise in weight and more lung crackles
6.ふつう

A patient with DKA has an arterial blood gas showing a low pH and a low bicarbonate. Which disturbance is this?

  1. ARespiratory alkalosis
  2. BMetabolic acidosis
  3. CMetabolic alkalosis
  4. DRespiratory acidosis
7.むずかしい

Why must severe chronic hyponatraemia be corrected slowly?

  1. AFast correction makes the kidneys stop producing urine
  2. BToo-rapid correction can cause osmotic demyelination in the brain
  3. CSodium given quickly causes immediate cardiac arrest
  4. DFast correction causes severe hypoglycaemia and seizures in most patients
8.むずかしい

A patient with new fast atrial fibrillation has chest pain, a blood pressure of 75/40 mmHg and is confused. What does this indicate?

  1. AA stable rhythm that can safely be reviewed at the next routine ward round
  2. BAnxiety about the new diagnosis that will settle with reassurance and rest alone
  3. CHaemodynamic instability needing urgent treatment, possibly electrical cardioversion
  4. DA normal response to atrial fibrillation needing no action

解答

  1. 1. A · こうした患者の一部では、高流量の酸素が二酸化炭素の貯留を起こすことがあるから
  2. 2. D · Classifying the form and consistency of stools
  3. 3. C · 135–145 mmol/L
  4. 4. B · Stop the infusion straight away and follow the extravasation protocol
  5. 5. C · Increased urine output, less breathlessness and a falling weight
  6. 6. B · Metabolic acidosis
  7. 7. B · Too-rapid correction can cause osmotic demyelination in the brain
  8. 8. C · Haemodynamic instability needing urgent treatment, possibly electrical cardioversion

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