解答つき内科外科看護：循環器と呼吸器ワークシート

Where is the apex beat normally felt in an adult?

1. AOver the middle of the breastbone
2. BThe second intercostal space to the right of the sternum
3. CJust below the right nipple
4. DThe fifth intercostal space in the left mid-clavicular line

Which valve lies between the left atrium and the left ventricle?

1. AThe tricuspid valve
2. BThe aortic valve
3. CThe mitral valve
4. DThe pulmonary valve

看護師は、心房細動における脈拍欠損をどのように確認しますか？

1. A1人で左右の頸動脈を同時に触れる
2. B1人で橈骨動脈の脈拍を15秒数えて4倍する
3. C2人で心尖拍動と橈骨動脈の脈拍を同時に1分間数える
4. Dパルスオキシメーターの表示から心拍数を読む

A patient is starting doxazosin, an alpha-blocker, for hypertension. Which advice is most important?

1. ATake it with a large glass of grapefruit juice to improve absorption
2. BAvoid all potassium-containing foods
3. CStop it suddenly if the heart rate rises after the first few doses
4. DTake the first dose at bedtime, as dizziness and fainting can occur

A patient on nasal cannula oxygen breathes mainly through the mouth. What is the most accurate statement?

1. AThe flow must be increased to 15 L/min to make it work at all
2. BThe cannula should be placed in the mouth
3. CIt can still work, because oxygen collects in the nasopharynx
4. DIt has no effect at all in mouth breathers and must be stopped

ワルファリンを服用している患者が、ほうれん草とケールの大盛りサラダを毎日食べ始めました。主な懸念は何ですか？

1. A余分なビタミンKがINRを低下させる可能性
2. B余分なビタミンKがINRを上昇させる可能性
3. C食べ物とワルファリンの間に相互作用はない
4. Dワルファリン服用中は緑の野菜が肝臓を傷める

An adult inhales a peanut while laughing and now has a persistent cough and wheeze on one side. Where is the peanut most likely to have lodged?

1. AThe right main bronchus
2. BThe nasal cavity
3. CThe left main bronchus
4. DThe oesophagus

During drainage of a large pleural effusion, a patient starts coughing and feels tight in the chest. What should the nurse do?

1. AStop or clamp the drainage and inform the doctor
2. BLie the patient flat until the drainage is complete
3. CSpeed up the drainage to finish quickly
4. DAsk the patient to cough harder to help the flow