解答つき臨床看護学ワークシート

What is the Bristol Stool Chart used for?

1. AClassifying the form and consistency of stools
2. BMeasuring how much food a patient eats each day
3. CScoring the risk of pressure ulcers
4. DRecording the frequency of urination

Which heart rhythm needs immediate defibrillation in a patient in cardiac arrest?

1. AFirst-degree heart block
2. BSinus bradycardia
3. CVentricular fibrillation
4. DAsystole

「Sepsis Six」バンドルに含まれる項目は？

1. A下剤を投与する
2. B血液培養を採取する
3. C理学療法を始める
4. D退院の手配をする

A patient is having a 12-lead ECG. Where are the chest electrodes placed?

1. AIn standard numbered positions across the front and left of the chest
2. BOn both shoulders and both hips only
3. CIn a straight line down the centre of the sternum from top to bottom
4. DAnywhere on the chest where the skin is clear

A nurse suspects that an older patient is being financially abused by a relative. What should the nurse do?

1. ARaise the concern through the local safeguarding (adult protection) procedure
2. BKeep it secret because it is a family matter
3. CConfront the relative directly at the bedside about it
4. DWait until the patient has been discharged

Why is oxygen often humidified for a patient with a tracheostomy?

1. AThe tube bypasses the nose, which normally warms and moistens air
2. BDry oxygen causes high blood glucose
3. CHumidification lowers the oxygen concentration to a safer level
4. DHumidity is needed for the oxygen to work as a drug

術後の患者の心拍数は 115 回/分、体温 38.6 °C、呼吸数 26 回/分で、輸液の急速投与にもかかわらず血圧は 85/50 mmHg です。最も示唆するのは？

1. A軽い脱水のみ
2. B至急の集中治療の評価が必要な敗血症性ショック
3. C退院への不安
4. D手術後の最初の数日間にみられる正常な炎症反応

Which route and site are recommended for the first dose of adrenaline (epinephrine) in anaphylaxis on a ward?

1. AOral tablet dissolved under the tongue
2. BSubcutaneous injection into the upper arm
3. CIntravenous bolus given by the nurse without monitoring
4. DIntramuscular injection into the anterolateral thigh