解答つき内科外科看護：循環器と呼吸器ワークシート

胸腔ドレナージユニットはどこに置きますか？

1. A場所をとらないよう、ベッドの下に横倒しにして
2. B立てた状態で、胸より低い位置に
3. C立てた状態で、患者の肩の高さに
4. Dベッドの上に吊るして、吸引で排液されるようにして

What is an aneurysm?

1. AAn abnormal bulging of a weakened artery wall
2. BA tear in the inner lining of a vein
3. CA blood clot in a deep vein
4. DA complete blockage of an artery by plaque

What does an SpO₂ reading measure?

1. AThe amount of carbon dioxide dissolved in the blood
2. BThe total haemoglobin level
3. CThe oxygen level in the brain
4. DThe percentage of haemoglobin carrying oxygen

Why are IV fluids given cautiously to a patient with heart failure?

1. AIV fluids stop diuretics from being absorbed
2. BExtra volume can quickly cause pulmonary oedema
3. CIV fluids lower the blood pressure dangerously
4. DIV fluids directly damage the heart valves

Which ECG change is classically linked with hyperkalaemia?

1. AProminent U waves
2. BA sawtooth baseline
3. CDelta waves before the QRS
4. DTall, peaked T waves

A patient with diabetes is starting a beta-blocker. What should the nurse teach about hypoglycaemia?

1. AThe beta-blocker will prevent all episodes of hypoglycaemia
2. BHypoglycaemia will always cause a very slow and weak pulse
3. CSome warning signs, such as a fast heartbeat, may be masked
4. DInsulin should be stopped while taking a beta-blocker

市中肺炎の82歳の患者に、新たな錯乱があり、呼吸数32/分、血圧88/52 mmHg、尿素9 mmol/Lです。これは何を示しますか？

1. ACURB-65スコア1：自宅での経口抗菌薬に適している
2. BCURB-65スコア5：高リスクで、上級医の緊急の診察が必要
3. C高齢者の感染症に対する正常な反応
4. DCURB-65スコア3：一般病棟への通常の入院のみでよい

The stump of a recent below-knee amputation suddenly bleeds heavily through the dressing. What should the nurse do first?

1. ARemove all the dressings and wait for the bleeding to stop by itself
2. BEncourage the patient to walk on crutches to ease the pressure
3. CApply firm direct pressure and call for urgent surgical help
4. DApply a warm compress to the stump