解答つき臨床看護学ワークシート

What is the most reliable indicator of pain in a patient who can communicate?

1. AThe nurse's impression of their face
2. BThe patient's own report
3. CThe patient's blood pressure
4. DThe patient's heart rate

The term "hemiplegia" means:

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

狭心症に典型的な症状は？

1. A労作時に起こり、安静で治まる胸の痛み
2. B歩くと起こり、安静で治まるふくらはぎの痛み
3. C何日も続き、活動に左右されない痛み
4. D胸壁を押したときだけの鋭い痛み

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 weight and more lung crackles
3. CIncreased urine output, less breathlessness and a falling weight
4. DA rise in blood pressure and a new cough

A very anxious patient breathes rapidly for a long period. Which change is expected?

1. ARespiratory alkalosis from a low PaCO₂
2. BRespiratory acidosis from a high PaCO₂
3. CMetabolic acidosis from a low bicarbonate
4. DMetabolic alkalosis from vomiting

急性虚血性脳卒中に対する静注血栓溶解療法は、一般にどの時間内に行われますか？

1. A1 週間以内ならいつでも
2. B発症から 4.5 時間以内
3. C24 時間を過ぎてからのみ
4. D症状の発症から 48 時間以内

Why might a patient with diabetes who takes a beta-blocker not notice hypoglycaemia early?

1. ABeta-blockers raise blood glucose, so true hypoglycaemia cannot happen at all
2. BBeta-blockers stop the liver from responding to insulin
3. CBeta-blockers make the patient sleep through the night
4. DBeta-blockers can mask warning signs such as tremor and a fast heart rate

A patient with suspected appendicitis says the pain suddenly eased, but an hour later has pain all over the abdomen, a rigid abdomen and a fever. What is most likely?

1. AThe appendix has perforated, causing peritonitis
2. BThe appendicitis has resolved without treatment
3. CThe patient has developed gastroenteritis
4. DThe analgesia has started working