解答つき内科外科看護：循環器と呼吸器ワークシート

胸腔ドレーンの水封室で「スイング」（呼吸性移動）とは何ですか？

1. A患者が呼吸するかどうかにかかわらず続く泡立ち
2. B血栓がドレナージチューブに沿って動くこと
3. C呼吸に合わせて水面が上下に動くこと
4. D患者が歩くときにドレナージユニットが揺れること

Which vaccine is used to protect against tuberculosis?

1. AHPV
2. BMMR
3. CBCG
4. DDTaP

What is the role of cilia in the airways?

1. AThey contract to narrow the airways and keep out particles of dust
2. BThey make surfactant to keep the small alveoli open
3. CThey move mucus and trapped particles up towards the throat
4. DThey exchange oxygen and carbon dioxide with the blood

A patient has chest pain at rest in the early morning with brief ST elevation that resolves. Coronary arteries are later found to be clear. Which condition is most likely?

1. AAortic stenosis
2. BVasospastic (Prinzmetal) angina
3. CStable exertional angina from a fixed plaque
4. DAcute pericarditis

A patient taking isosorbide mononitrate asks about sildenafil for erectile dysfunction. What is the main danger?

1. ASevere hypotension
2. BA very high potassium level
3. CBleeding from the gums
4. DSevere hypertension

A patient choosing between a mechanical and a biological heart valve asks about the main difference. Which answer is accurate?

1. AMechanical valves last longer but need lifelong anticoagulation
2. BBoth types need no medicines after surgery
3. CBiological valves last longer but need lifelong warfarin
4. DMechanical valves wear out within one year

心房細動でワルファリンを服用している患者のINRが8.5ですが、出血はありません。最も考えられる管理はどれですか？

1. Aワルファリンを保留し、指示者に連絡して、早めにINRを再検査する
2. B拮抗のために、直ちに硫酸プロタミンを静注する
3. Cプロトロンビン複合体濃縮製剤と輸血を行う
4. D通常量を続け、1か月後にINRを再確認する

Ten days after cardiac surgery, a patient has a fever, a red sternal wound with discharge and a clicking feeling in the chest when coughing. What should the nurse suspect?

1. ACostochondritis caused by forceful coughing
2. BPericarditis from the operation
3. CSternal wound infection with an unstable sternum
4. DNormal wound healing with some expected discharge