解答つき内科外科看護：循環器と呼吸器ワークシート

心筋梗塞の後、トロポニン値は、おおよそどのくらいの期間高いままでいられますか？

1. A約6か月間
2. B最初の2時間だけ
3. C約10～14日間まで
4. D胸痛が止まるまで

What is bronchiectasis?

1. ADestruction of the alveolar walls with air trapping
2. BPermanent widening of the bronchi with chronic sputum
3. CA tumour of the main bronchus
4. DA brief spasm of the airways that fully reverses with treatment

In a tension pneumothorax, which way does the trachea usually shift?

1. AAway from the affected side
2. BUpwards towards the chin
3. CTowards the affected side
4. DIt never moves in a pneumothorax

胸痛のある患者がニトログリセリンを求めました。看護師が投与を保留して指示者に連絡すべきなのは、どの情報があるときですか？

1. A患者が毎日スタチンを服用している
2. B患者の血圧が150/90 mmHgである
3. C患者が先週頭痛を起こした
4. D患者が今日の早い時間にシルデナフィルを服用した

Which finding shows that long-standing hypertension has caused target organ damage?

1. AA heart rate of 72/min
2. BClear lung fields on the chest X-ray
3. CA normal fasting glucose
4. DLeft ventricular hypertrophy on the ECG

A patient has episodes of severe headache, sweating and palpitations with very high blood pressure. Which rare cause should be considered?

1. APhaeochromocytoma
2. BAsthma
3. CAortic stenosis
4. DStable angina

A healthcare assistant (unlicensed assistive personnel) reports four observations. Which one needs the nurse's attention first?

1. AA patient with heart failure who is newly confused, with SpO₂ 89%
2. BA patient after a PCI asking for a cup of tea
3. CA patient with a DVT whose leg is less swollen today
4. DA patient with COPD whose SpO₂ is 90% on 1 L/min, which is usual for him

A patient with a stab wound to the chest has a hole that sucks air with each breath. What is the immediate management?

1. ALeave it open and give a nebuliser
2. BCover it with a vented chest seal or a dressing taped on three sides
3. CSeal it completely with tape on all four sides and leave it alone
4. DPack the wound tightly with gauze pushed deep into the chest