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 definition best describes heart failure?

  1. AThe heart beats faster than 150 beats per minute for over an hour
  2. BA coronary artery is suddenly blocked by a clot
  3. CThe heart cannot pump enough blood to meet the body's needs
  4. DThe heart has completely stopped beating and there is no pulse
2.やさしい

What is a pneumothorax?

  1. AFluid in the alveoli caused by heart failure
  2. BPus collecting in the pleural space
  3. CAir in the pleural space causing the lung to collapse
  4. DInflammation of the lung tissue caused by infection
3.やさしい

Amlodipine belongs to which drug class?

  1. AAngiotensin-converting enzyme inhibitors
  2. BLoop diuretics
  3. CCalcium channel blockers
  4. DCardioselective beta-blockers
4.ふつう

A patient on ramipril is to start sacubitril/valsartan for heart failure. What is the key safety point?

  1. ABoth drugs should be taken together each day for the best effect
  2. BSacubitril/valsartan is safe to start on the same morning
  3. CThe ACE inhibitor dose should be doubled during the change
  4. DThe ACE inhibitor must be stopped first, with a gap before starting
5.ふつう

How is the jugular venous pressure usually assessed?

  1. APatient standing with the neck flexed forward
  2. BPatient lying completely flat with the head turned to the right
  3. CPatient sitting upright with the arms raised above the head
  4. DPatient reclined at 45° with the head turned slightly to the left
6.ふつう

Why does a large, rapidly forming pericardial effusion lower the blood pressure?

  1. AIt causes the aortic valve to leak backwards into the ventricle
  2. BIt compresses the heart and stops the ventricles filling
  3. CIt makes the heart muscle contract too strongly and too fast
  4. DIt dilates the arteries throughout the body
7.むずかしい

Two adults with cystic fibrosis are admitted to the same ward. What is the correct infection-control plan?

  1. ALet them share physiotherapy sessions and equipment
  2. BNurse them in separate single rooms and keep them apart
  3. CUse standard precautions only, as CF is not infectious
  4. DPut them in the same bay so they can support each other
8.むずかしい

Four hours after cardiac surgery, the mediastinal drain, which had been draining steadily, suddenly stops. BP falls to 84/60 mmHg, the heart rate rises and the CVP climbs. What should the nurse suspect?

  1. ANormal recovery, as the bleeding has stopped
  2. BFluid overload from intravenous fluids
  3. CCardiac tamponade from a clotted drain
  4. DA tension pneumothorax on the left side

解答

  1. 1. C · The heart cannot pump enough blood to meet the body's needs
  2. 2. C · Air in the pleural space causing the lung to collapse
  3. 3. C · Calcium channel blockers
  4. 4. D · The ACE inhibitor must be stopped first, with a gap before starting
  5. 5. D · Patient reclined at 45° with the head turned slightly to the left
  6. 6. B · It compresses the heart and stops the ventricles filling
  7. 7. B · Nurse them in separate single rooms and keep them apart
  8. 8. C · Cardiac tamponade from a clotted drain

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