解答つき臨床看護学ワークシート

臨床の申し送りで SBAR は何を表しますか？

1. A要約（Summary）、ベッドサイド（Bedside）、行動（Action）、見直し（Review）
2. B症状（Symptoms）、血圧（Blood pressure）、気道（Airway）、呼吸数（Respiratory rate）
3. C状況（Situation）、背景（Background）、評価（Assessment）、提案（Recommendation）
4. D安全（Safety）、呼吸（Breathing）、覚醒度（Alertness）、リスク（Risk）

What does "orthopnoea" mean?

1. ABreathlessness only during exercise
2. BBreathing that is abnormally slow
3. CBreathlessness when lying flat
4. DA pause in breathing during sleep

What is the normal pH range of arterial blood?

1. A6.85–6.95
2. B7.35–7.45
3. C7.55–7.65
4. D7.00–7.10

ACE 阻害薬を開始した患者に持続する空咳が出ました。考えられる原因は？

1. A肺塞栓症
2. Bβ遮断薬による喘息
3. CACE 阻害薬の既知の副作用
4. D最近投与したペニシリンへのアレルギー反応

Which side effect of regular opioids usually needs preventive treatment from the start?

1. AExcessive hunger
2. BHigh blood pressure
3. CConstipation
4. DDiarrhoea

Which is a first-line nursing measure to help prevent constipation in hospital?

1. AKeeping the patient in bed
2. BRestricting fluids to reduce urine output
3. CGiving an enema to every patient on admission
4. DEncouraging fluids, fibre and mobility

A patient going home with a leg cast is taught about cast care. Which statement shows a need for further teaching?

1. A"I will keep the cast dry."
2. B"I can push a knitting needle down the cast to scratch an itch."
3. C"I will come back if my toes go numb or turn blue."
4. D"I will keep my leg raised on pillows for the first few days."

A potassium result of 6.9 mmol/L comes back on a well patient with a normal ECG, and the laboratory reports that the sample was haemolysed. What is the best action?

1. AIgnore the result because the patient looks well and the ECG is normal
2. BStart a potassium supplement
3. CGive IV insulin and glucose straight away
4. DRepeat the blood test promptly, as haemolysis can falsely raise potassium