解答つき内科外科看護：循環器と呼吸器ワークシート

Which sound is typical of a pleural friction rub?

1. AFine bubbling sounds that clear with coughing
2. BA high-pitched musical sound on expiration
3. CA creaking, grating sound with each breath
4. DA harsh sound on breathing in from the throat

Which finding on abdominal examination suggests an abdominal aortic aneurysm?

1. AA dull area that shifts when the patient turns
2. BA tender lump in the right iliac fossa
3. CA pulsating mass around the umbilicus
4. DLoud, high-pitched bowel sounds

What causes the first heart sound (S1)?

1. AClosure of the mitral and tricuspid valves
2. BBlood flowing quickly into the atria
3. CClosure of the aortic and pulmonary valves
4. DThe heart muscle stretching in diastole

駆出率とは何ですか？

1. A1回の拍動ごとに駆出される心室内の血液の割合
2. B心臓が1分間に送り出す血液量
3. C拡張期の充満の終わりの左心室内の圧
4. D1回の心拍ごとに送り出される血液量

A patient with diabetes is starting a beta-blocker. What should the nurse teach about hypoglycaemia?

1. AThe beta-blocker will prevent all episodes of hypoglycaemia
2. BSome warning signs, such as a fast heartbeat, may be masked
3. CHypoglycaemia will always cause a very slow and weak pulse
4. DInsulin should be stopped while taking a beta-blocker

心筋梗塞の2日後に、患者が突然の息切れ、ラ音、新たな大きな収縮期雑音を起こしました。どの合併症を疑うべきですか？

1. A長期臥床による肺塞栓症
2. Bストレスで誘発された安定狭心症の新たな発作
3. C乳頭筋断裂による急性僧帽弁閉鎖不全
4. D心膜摩擦音を伴う梗塞後心膜炎

A patient with a confirmed type A aortic dissection is hypertensive and tachycardic while awaiting surgery. Which drug class is usually given first to lower the heart rate and blood pressure?

1. AOral aspirin
2. BAn intravenous beta-blocker
3. CAn intravenous fluid bolus
4. DAn intravenous thrombolytic

A patient with an inferior myocardial infarction develops complete heart block with a heart rate of 38/min. What is the most likely reason?

1. AThe left anterior descending artery supplies the SA node only
2. BThe right coronary artery usually supplies the AV node
3. CHeart block is caused by the thrombolytic drug
4. DInferior infarcts always destroy the bundle of His permanently