解答つき内科外科看護：循環器と呼吸器ワークシート

無料で印刷できる内科外科看護：循環器と呼吸器のワークシート：やさしい問題から試験レベルまで 8 問、解答つき。印刷するか PDF で保存できます。

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名前: ____________________   日付: ____________

1.やさしい

What is the classic clinical definition of chronic bronchitis?

  1. AWheeze and chest tightness that occur only during exercise
  2. BA dry cough lasting about one week after a common cold
  3. CA cough with sputum most days for 3 months in 2 years running
  4. DA single episode of coughing up blood after a chest infection
2.やさしい

Which chest X-ray finding is classic for sarcoidosis?

  1. AEnlarged lymph nodes at both lung hila
  2. BA visible edge of collapsed lung
  3. CA single round mass in one apex
  4. DA completely white lung on one side
3.やさしい

What is the "calf muscle pump"?

  1. AA device that inflates around the calf during surgery to warm the leg
  2. BThe artery that supplies oxygenated blood to the muscles of the calf
  3. CCalf muscles squeezing the deep veins to push blood towards the heart
  4. DA heart valve that pumps blood into the legs
4.ふつう

The telemetry monitor suddenly shows a chaotic waveform resembling ventricular fibrillation, but the patient is talking and brushing their teeth. What should the nurse do first?

  1. ACheck the patient and the electrodes, as this is likely artefact
  2. BDeliver an immediate defibrillation shock before checking anything
  3. CGive IV amiodarone as a bolus
  4. DStart chest compressions straight away and call the arrest team
5.ふつう

How should a patient with asthma record their peak flow at home?

  1. ATake one gentle blow once a week, at any time of day
  2. BTake the average of ten blows after exercise
  3. CTake the best of three blows, ideally morning and evening
  4. DBlow only during an asthma attack, never when well
6.ふつう

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

  1. ADiscuss switching medicine with the prescriber before trying to conceive
  2. BContinue lisinopril, as it is the safest blood pressure drug in pregnancy
  3. CStop all blood pressure treatment straight away without telling anyone
  4. DDouble the dose to protect the baby from high blood pressure
7.むずかしい

COPDの患者が息苦しく、室内気でSpO₂ 84%です。血液ガスでは、最適な内科治療にもかかわらずpH 7.30でPaCO₂が上昇しています。検討されそうな治療はどれですか？

  1. Aネブライザーによる気管支拡張薬の中止
  2. B非再呼吸式マスクによる高濃度酸素
  3. C呼吸数を減らすための静注鎮静
  4. D非侵襲的換気（NIV）
8.むずかしい

A hypotensive patient has a temperature of 39.2 °C, warm flushed skin, a bounding pulse and a fast heart rate. Which type of shock is most likely?

  1. AObstructive shock from tamponade
  2. BHypovolaemic shock from bleeding
  3. CCardiogenic shock
  4. DEarly septic (distributive) shock

解答

  1. 1. C · A cough with sputum most days for 3 months in 2 years running
  2. 2. A · Enlarged lymph nodes at both lung hila
  3. 3. C · Calf muscles squeezing the deep veins to push blood towards the heart
  4. 4. A · Check the patient and the electrodes, as this is likely artefact
  5. 5. C · Take the best of three blows, ideally morning and evening
  6. 6. A · Discuss switching medicine with the prescriber before trying to conceive
  7. 7. D · 非侵襲的換気（NIV）
  8. 8. D · Early septic (distributive) shock

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