解答つき内科外科看護：循環器と呼吸器ワークシート

What is the normal range for arterial PaCO₂?

1. AAbout 4.7–6.0 kPa (35–45 mmHg)
2. BAbout 10–13 kPa (75–100 mmHg)
3. CAbout 8.0–9.0 kPa (60–68 mmHg)
4. DAbout 1.0–2.0 kPa (8–15 mmHg)

Which group of symptoms is typical of pulmonary tuberculosis?

1. ACalf pain, leg swelling and redness
2. BSudden wheeze, itching and a raised skin rash
3. CSharp chest pain only when lying flat on the back
4. DLong-lasting cough, night sweats and weight loss

What defines type 2 respiratory failure?

1. ALow PaO₂ with a raised PaCO₂
2. BNormal PaO₂ with a low PaCO₂
3. CHigh PaO₂ with a high bicarbonate
4. DLow PaO₂ with a normal or low PaCO₂

After an above-knee amputation, which measure helps prevent a hip flexion contracture?

1. ALying prone for periods and avoiding pillows under the stump
2. BKeeping the hip bent to reduce stump swelling
3. CKeeping a pillow under the stump at all times, day and night
4. DSitting in a chair for most of the day with the hips bent

What is the main problem in heart failure with preserved ejection fraction?

1. AA leaking aortic valve
2. BA dilated ventricle that cannot contract strongly
3. CA stiff ventricle that fills poorly in diastole
4. DA blocked pulmonary artery

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

1. AA very high potassium level
2. BBleeding from the gums
3. CSevere hypertension
4. DSevere hypotension

A patient with both COPD and heart disease is more breathless, with bilateral basal crackles, raised JVP, ankle swelling and a markedly raised NT-proBNP. Which problem is most likely driving this episode?

1. AHyperventilation from anxiety
2. BA primary spontaneous pneumothorax
3. CAn asthma attack
4. DDecompensated heart failure

大腿動脈経由のPCIの4時間後、鼠径部のドレッシングが血液でぐっしょり濡れ、硬い腫れが大きくなっています。直ちに行うべきことは何ですか？

1. Aドレッシングを外し、創部を空気にさらしておく
2. B穿刺部位のすぐ上を強く圧迫し、応援を呼ぶ
3. C部位に血栓ができないよう、ヘパリンの注入速度を上げる
4. D患者を起こして、排尿のためにトイレまで歩かせる