解答つき臨床看護学ワークシート

What is a PEG tube?

1. AA tube placed in the chest to drain air
2. BA feeding tube placed through the abdominal wall into the stomach
3. CA tube placed through the skin into the bladder to drain urine
4. DA tube passed through the nose and down into the stomach

手術後に段階的弾性ストッキングと早期離床を行う主な目的は？

1. A尿閉の予防
2. Bかかとの褥瘡だけの予防
3. C創感染の予防
4. D静脈血栓塞栓症の予防

In acute appendicitis, where does the pain classically start and where does it move to?

1. AIt starts in the left shoulder and moves to the back
2. BIt starts around the umbilicus and moves to the right lower abdomen
3. CIt starts in the left lower abdomen and stays there
4. DIt starts in the right upper abdomen and moves up to the centre of the chest

How does ulcerative colitis differ from Crohn's disease?

1. AUlcerative colitis typically causes patchy "skip" lesions
2. BUlcerative colitis always affects the full thickness of the bowel wall
3. CUlcerative colitis can affect any part of the gut from mouth to anus
4. DUlcerative colitis affects only the colon, continuously from the rectum

How does CPAP help a patient with obstructive sleep apnoea?

1. AIt keeps the upper airway open during sleep with continuous air pressure
2. BIt strengthens the breathing muscles during the day
3. CIt removes excess carbon dioxide from the lungs by gentle suction
4. DIt delivers bronchodilator drugs deep into the lungs overnight

輸血開始直後の数分間で輸血反応を示すサインは？

1. A顔色が良くなり元気が出る
2. B翌日にかけてヘモグロビンがゆっくり着実に上昇する
3. C軽い空腹感
4. D発熱、悪寒、背部痛、血圧低下

患者の尿量が 12 時間ずっと非常に少なく、クレアチニンが急上昇しています。指示表の中で見直しが最も必要な可能性が高い薬は？

1. A保湿クリーム
2. Bビタミンのサプリメント
3. Cイブプロフェンなどの非ステロイド性抗炎症薬
4. D通常量のアセトアミノフェン

A patient with type 1 diabetes is nil by mouth before surgery. Why must their insulin not simply be stopped?

1. AWithout any insulin they can develop diabetic ketoacidosis
2. BInsulin prevents wound infection on its own
3. CStopping insulin causes immediate hypoglycaemia during the operation
4. DInsulin is needed for the anaesthetic to work