解答つき内科外科看護：循環器と呼吸器ワークシート

虚血性脳卒中のリスクを最も高める不整脈はどれですか？

1. A運動選手にみられる洞性徐脈
2. B心房細動
3. C運動中の洞性頻脈
4. D洞性不整脈

What is the main cause of COPD in high-income countries?

1. AA viral infection
2. BChildhood asthma
3. CEating too much salt
4. DCigarette smoking

Which group of symptoms suggests obstructive sleep apnoea?

1. AFever, cough and rust-coloured sputum
2. BLoud snoring, pauses in breathing and daytime sleepiness
3. CNight sweats, weight loss and a cough lasting several weeks
4. DWheeze, cough and itchy eyes that come on after exercise

A patient with heart failure takes furosemide once a day. When is the best time to take it?

1. AIn the morning, to avoid needing the toilet at night
2. BWhenever the ankles look swollen, on those days only
3. CAt bedtime, so the effect lasts through the night
4. DJust before the evening meal, with a large drink

プレフィルドシリンジの皮下注射用エノキサパリンは、どのように投与しますか？

1. A先に気泡を押し出してから、三角筋に
2. B腹部に、気泡を残したまま、こすらずに
3. C毎日同じ腹部の部位に、その後マッサージして
4. Dカニューレから静脈内に急速にボーラスで

Which exercise advice is recommended for intermittent claudication?

1. AStopping walking at the very first twinge of pain each time
2. BSupervised walking until pain is near maximal, then rest and repeat
3. CComplete bed rest until the leg pain has gone for at least a month
4. DWalking only on days when the legs feel warm and painless

心筋梗塞の3週間後、患者に発熱、前かがみになると和らぐ胸膜痛、心膜摩擦音があります。最も考えられる疾患はどれですか？

1. A心筋梗塞後（ドレスラー）症候群
2. B別の動脈の新たなSTEMI
3. C急性左心不全
4. D急性大動脈解離

A patient with a COPD exacerbation has been on NIV for two hours. They are now more drowsy, and the pH has fallen further despite a good mask fit. What should the nurse do?

1. AGive a sedative to help the patient tolerate the mask
2. BContinue NIV unchanged and repeat the blood gas tomorrow morning
3. CEscalate urgently for review of intubation or a ceiling of care
4. DRemove the mask and give nebulised bronchodilators only from now on