解答つき内科外科看護：循環器と呼吸器ワークシート

Which examination findings are typical of a large pleural effusion?

1. ACoarse crackles that clear on coughing
2. BHyper-resonance and a loud wheeze over the affected side
3. CNormal percussion and bronchial breathing
4. DDullness to percussion and reduced breath sounds

Which sound is typical of a pleural friction rub?

1. AA creaking, grating sound with each breath
2. BA high-pitched musical sound on expiration
3. CFine bubbling sounds that clear with coughing
4. DA harsh sound on breathing in from the throat

深部静脈血栓症の最も重篤な合併症はどれですか？

1. A下肢静脈瘤
2. B表在性血栓性静脈炎
3. C血栓後の脚の腫れ
4. D肺塞栓症

Unless fluids are restricted, why are patients with pneumonia encouraged to drink plenty?

1. ATo make the cough completely stop
2. BTo flush the bacteria out through the urine
3. CTo lower the temperature by diluting the blood plasma
4. DTo prevent dehydration and keep secretions thinner

A patient with angle-closure glaucoma needs nebulised ipratropium. What precaution is sensible?

1. AMix it with an eye drop before putting it in the nebuliser
2. BUse a mouthpiece or protect the eyes from the mist
3. CGive it only with the patient lying completely flat
4. DRun it at the highest possible gas flow

After an above-knee amputation, which measure helps prevent a hip flexion contracture?

1. AKeeping the hip bent to reduce stump swelling
2. BSitting in a chair for most of the day with the hips bent
3. CLying prone for periods and avoiding pillows under the stump
4. DKeeping a pillow under the stump at all times, day and night

ヘパリン持続注入の6日目に、血小板数が半分以上減少し、患者の腕に新たな腫れが出ました。看護師は何を予測すべきですか？

1. Aすべてのヘパリンを中止し、ヘパリン以外の抗凝固薬を開始すること
2. B別の薬なので、低分子ヘパリンに切り替えること
3. C2週間、抗凝固療法をすべて中止すること
4. Dヘパリンを続け、血小板輸血を行うこと

Which instruction from the registered nurse to a healthcare assistant (unlicensed assistive personnel) caring for a patient with COPD is most appropriate?

1. A"Listen to his chest after lunch and let me know what you can hear."
2. B"Teach him how to use his new inhaler this afternoon after his rest."
3. C"Turn his oxygen up to whatever he needs if he looks short of breath."
4. D"Tell me straight away if his SpO₂ is under 88% or he is more breathless."