解答つき内科外科看護：循環器と呼吸器ワークシート

What is the usual SpO₂ of a healthy adult at rest breathing room air?

1. AAbout 60–65%
2. BAbout 95–100%
3. CAbout 70–75%
4. DAbout 80–85%

Which group of symptoms suggests obstructive sleep apnoea?

1. ANight sweats, weight loss and a cough lasting several weeks
2. BLoud snoring, pauses in breathing and daytime sleepiness
3. CWheeze, cough and itchy eyes that come on after exercise
4. DFever, cough and rust-coloured sputum

In which situation can a pulse oximeter show a falsely normal reading?

1. ABreathing room air
2. BA warm hand at rest
3. CCarbon monoxide poisoning
4. DA regular pulse of 80/min

A patient with stable angina is afraid nicotine patches will harm their heart. Which reply is most accurate?

1. ANicotine patches are much more harmful to the heart than cigarettes
2. BNicotine replacement is much safer than smoking and is recommended
3. CNicotine replacement only works if smoking continues
4. DPeople with angina must stop smoking without any help

患者がDVTのためにワルファリンを開始します。最初の数日間、ヘパリンや低分子ヘパリンも併用するのはなぜですか？

1. A2つの薬は、生涯にわたって必ず併用し続けなければならないから
2. Bワルファリンは十分な効果が出るまでに数日かかるから
3. Cヘパリンがワルファリンの吸収を改善するから
4. Dヘパリンがワルファリンによる出血を防ぐから

A woman with hypertension who takes lisinopril says she is planning a pregnancy. What should the nurse advise?

1. AStop all blood pressure treatment straight away without telling anyone
2. BContinue lisinopril, as it is the safest blood pressure drug in pregnancy
3. CDouble the dose to protect the baby from high blood pressure
4. DDiscuss switching medicine with the prescriber before trying to conceive

A patient with both COPD and heart disease is more breathless, with bilateral basal crackles, raised JVP, ankle swelling and a markedly raised NT-proBNP. Which problem is most likely driving this episode?

1. ADecompensated heart failure
2. BA primary spontaneous pneumothorax
3. CAn asthma attack
4. DHyperventilation from anxiety

Which task for a stable patient with heart failure can the registered nurse most appropriately delegate to a healthcare assistant (unlicensed assistive personnel)?

1. AMeasuring and recording the morning weight
2. BAssessing lung sounds for new crackles
3. CTeaching the patient about a low-salt diet
4. DDeciding whether to give the furosemide dose