解答つき内科外科看護：循環器と呼吸器ワークシート

Which three symptoms are classic in severe aortic stenosis?

1. AExertional chest pain, fainting and breathlessness
2. BFever, painful swollen joints and a spreading skin rash
3. CWheeze, cough and clear sputum
4. DCalf pain, leg swelling and redness of one leg

In hospital, how is oxygen therapy treated?

1. AAs a medicine that needs a prescription with a target range
2. BAs a treatment that patients adjust themselves
3. CAs a treatment kept only for patients who are near the end of life
4. DAs a comfort measure that needs no prescription or monitoring

What is a pneumothorax?

1. AFluid in the alveoli caused by heart failure
2. BPus collecting in the pleural space
3. CInflammation of the lung tissue caused by infection
4. DAir in the pleural space causing the lung to collapse

How should a patient breathe in when using a pressurised metered-dose inhaler without a spacer?

1. ASlowly and deeply while pressing the canister, then hold the breath
2. BAs hard and fast as possible, then press the canister afterwards
3. CIn short gasps through the nose while pressing the canister
4. DNormally, while breathing out through the mouthpiece

A patient in cardiac rehabilitation asks how hard to exercise. Which simple guide is commonly taught?

1. AExercise only until the heart rate rises even slightly
2. BExercise until chest pain starts, then stop
3. CExercise so they are a little breathless but can still talk
4. DExercise until they are too breathless to speak at all

A patient who had a stroke has a weak swallow. Which measure most reduces the risk of aspiration pneumonia?

1. AGiving thin fluids quickly through a straw between meals
2. BGiving meals while the patient is drowsy
3. CA swallowing assessment and sitting upright for meals
4. DLying flat for 30 minutes after eating to aid digestion

A 70-year-old man has a small abdominal aortic aneurysm found on screening and is placed under surveillance. Which advice is most important?

1. AStop smoking, control BP and seek help at once for sudden back pain
2. BStop all blood pressure medicines to avoid low pressure
3. CHave the aneurysm repaired immediately, whatever its size or growth rate
4. DAvoid all exercise and lifting for the rest of his life to protect the aorta

After a fall onto the chest, part of a patient's chest wall moves inward when they breathe in and outward when they breathe out. What does this indicate?

1. AA single simple rib fracture with no lung injury
2. BA flail chest from ribs broken in more than one place
3. CA large pleural effusion pressing on the chest wall
4. DNormal chest movement caused by pain on breathing