解答つき内科外科看護：循環器と呼吸器ワークシート

Mesothelioma of the pleura is strongly linked with exposure to which substance?

1. AWood smoke
2. BCoal dust
3. CAsbestos
4. DPollen

Thromboangiitis obliterans (Buerger's disease) is most strongly linked with which factor?

1. AA high-salt diet
2. BLack of sleep
3. CDrinking coffee
4. DSmoking tobacco

Which serious complication is strongly linked with untreated hypertension?

1. APneumonia
2. BCataract
3. CAsthma
4. DStroke

A patient with a regular narrow-complex tachycardia of 180/min is alert with a normal blood pressure. What is usually tried first?

1. AAn immediate unsynchronised shock with the defibrillator
2. BVagal manoeuvres such as a modified Valsalva
3. CA large oral dose of digoxin
4. DChest compressions until the rate slows

A patient uses a glyceryl trinitrate (nitroglycerin) patch for angina. Why is it usually removed for several hours each day?

1. AA nitrate-free interval prevents tolerance
2. BThe skin needs a break to absorb a larger dose
3. CIt lowers the risk of a high potassium level
4. DThe patch works only during the night

A patient is starting long-term amiodarone. Which teaching and monitoring are most important?

1. AAvoid dairy products and have the INR checked once at the start
2. BExpect orange urine and no need for blood tests
3. CEat extra salt and stop the drug as soon as the pulse is regular
4. DProtect skin from sunlight and have thyroid, liver and lung checks

ふくらはぎのDVTが確認され、治療量の抗凝固療法を開始した患者が、安静にしていなければならないのかと尋ねました。最も正確な答えはどれですか？

1. A少なくとも2週間の厳格な安静が必要である
2. B治療を開始した後は、通常、耐えられる範囲での歩行が勧められる
3. C歩く前に毎回、脚をマッサージすべきである
4. D血栓が完全に溶けるまで歩いてはいけない

A patient with severe asthma develops a stable narrow-complex tachycardia, and IV adenosine is prescribed. What should the nurse do?

1. AGive it as a slow infusion over an hour to reduce side effects
2. BGive it orally instead of intravenously
3. CGive it as prescribed, as adenosine is safe in every patient
4. DQuestion the prescription, as adenosine can cause bronchospasm