解答つき内科外科看護：循環器と呼吸器ワークシート

In pericarditis, which structure is inflamed?

1. AThe coronary arteries
2. BThe heart muscle itself
3. CThe inner lining of the heart chambers
4. DThe sac that surrounds the heart

Which side effect is particularly linked with spironolactone in men?

1. AOrange-red colouring of the urine
2. BHair loss on the scalp and eyebrows
3. CBreast enlargement (gynaecomastia)
4. DA persistent dry, tickly cough

During cardiac arrest, how is adrenaline (epinephrine) usually given?

1. ABy subcutaneous injection into the abdomen
2. BBy mouth, crushed and given with water
3. CBy inhalation through a nebuliser mask
4. DIntravenously or by the intraosseous route

After varicose vein surgery, which advice is usually given?

1. AWear the compression stockings as advised and walk regularly
2. BAvoid all walking until the bruising has gone
3. CStay in bed for two weeks with the legs hanging down
4. DStand still for long periods to help the veins heal

左室駆出率の低下した心不全（HFrEF）で、生存を改善する薬剤クラスの組み合わせはどれですか？

1. ANSAID、アスピリン、スタチン、チアジド系利尿薬
2. Bループ利尿薬を最大耐用量で単独使用
3. CACE阻害薬またはARNI、β遮断薬、MRA、SGLT2阻害薬
4. Dループ利尿薬、ジゴキシン、硝酸薬、カルシウム拮抗薬

A patient with a regular narrow-complex tachycardia of 180/min is alert with a normal blood pressure. What is usually tried first?

1. AVagal manoeuvres such as a modified Valsalva
2. BA large oral dose of digoxin
3. CChest compressions until the rate slows
4. DAn immediate unsynchronised shock with the defibrillator

A patient with infective endocarditis is on IV gentamicin with another antibiotic. Which monitoring is most important?

1. ADrug levels, renal function and hearing or balance changes
2. BLiver size by daily palpation and weekly abdominal ultrasound
3. CBlood glucose only
4. DPeak flow readings and spirometry before and after each dose

On day 2 after a surgical tracheostomy, the tube falls out. The patient is breathing but distressed. What should the nurse do first?

1. AForce the tube back through the stoma immediately with firm pressure
2. BCover the stoma completely with a sealed dressing and wait for help
3. CLeave the patient alone while fetching a new tube
4. DCall for expert help and give oxygen to both the face and the stoma