解答つき内科外科看護：循環器と呼吸器ワークシート

無料で印刷できる内科外科看護：循環器と呼吸器のワークシート：やさしい問題から試験レベルまで 8 問、解答つき。印刷するか PDF で保存できます。

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名前: ____________________   日付: ____________

1.やさしい

Which side effect of ethambutol should patients report straight away?

  1. AOrange-red colouring of the urine and tears
  2. BNumbness and tingling of the feet and hands
  3. CA painful, red and swollen big toe joint
  4. DBlurred vision or changes in colour vision
2.やさしい

On spirometry, what does a reduced FEV1/FVC ratio indicate?

  1. AObstruction to airflow
  2. BWeak heart muscle
  3. CNormal lung function
  4. DLow haemoglobin
3.やさしい

喘息で細い気道が狭くなったときに典型的な呼吸音はどれですか？

  1. A咳をすると消える粗い断続性ラ音
  2. B深呼吸で聞こえる胸膜摩擦音
  3. C主に吸気で聞こえる喘鳴（ストライダー）
  4. D喘鳴。通常は呼気で大きくなる
4.ふつう

A patient's blood pressure is 120/60 mmHg. What is the approximate mean arterial pressure?

  1. A100 mmHg
  2. B90 mmHg
  3. C60 mmHg
  4. D80 mmHg
5.ふつう

A patient with chest pain has a first troponin result within the normal range one hour after the pain started. Why is a repeat test arranged?

  1. ATroponin falls during an MI, so a lower value confirms it
  2. BTroponin may take a few hours to rise after muscle damage
  3. CThe first sample is always contaminated
  4. DThe repeat test is only needed for patients over 80
6.ふつう

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

  1. AJust before the evening meal, with a large drink
  2. BWhenever the ankles look swollen, on those days only
  3. CIn the morning, to avoid needing the toilet at night
  4. DAt bedtime, so the effect lasts through the night
7.むずかしい

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 with a DVT whose leg is less swollen today
  3. CA patient with COPD whose SpO₂ is 90% on 1 L/min, which is usual for him
  4. DA patient after a PCI asking for a cup of tea
8.むずかしい

A patient receiving noradrenaline (norepinephrine) through a peripheral cannula has pale, cold skin around the site. What should the nurse do?

  1. AStop it at that site, inform the team and follow the extravasation policy
  2. BMassage the area firmly to spread the drug out into the surrounding tissue
  3. CContinue the infusion, as this is expected
  4. DIncrease the rate so the drug enters the vein faster and leaks less

解答

  1. 1. D · Blurred vision or changes in colour vision
  2. 2. A · Obstruction to airflow
  3. 3. D · 喘鳴。通常は呼気で大きくなる
  4. 4. D · 80 mmHg
  5. 5. B · Troponin may take a few hours to rise after muscle damage
  6. 6. C · In the morning, to avoid needing the toilet at night
  7. 7. A · A patient with heart failure who is newly confused, with SpO₂ 89%
  8. 8. A · Stop it at that site, inform the team and follow the extravasation policy

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