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. APollen
2. BCoal dust
3. CAsbestos
4. DWood smoke

Finger clubbing is commonly linked with which condition?

1. AHigh blood pressure
2. BMild asthma
3. CBronchiectasis
4. DAcute bronchitis

What is bronchiectasis?

1. AA tumour of the main bronchus
2. BPermanent widening of the bronchi with chronic sputum
3. CDestruction of the alveolar walls with air trapping
4. DA brief spasm of the airways that fully reverses with treatment

COPDにおける呼吸リハビリテーションとは何ですか？

1. A6か月ごとに繰り返す肺機能検査
2. B息切れを和らげる、監督下の運動と教育
3. C毎年冬に自宅で行う、経口ステロイドと抗菌薬の投与
4. D肺の最も障害された部分を切除する手術

How is orthostatic (postural) hypotension usually assessed?

1. ABP lying after rest, then again after 1 and 3 minutes standing
2. BBP only standing, after a brisk walk along the corridor
3. CBP in both arms at the same moment while sitting
4. DBP once sitting, then once lying down straight after a large meal

胸腔ドレーンのチューブを一般にクランプしてはいけないのはなぜですか？

1. Aクランプするとチューブが恒久的に弱って割れるから
2. Bクランプすると胸腔から液体が速く排出されすぎるから
3. Cクランプすると水封の水が蒸発するから
4. D閉じ込められた空気が増えて、緊張性気胸を起こしうるから

Shortly after a thoracentesis, a patient becomes breathless with sharp chest pain and reduced breath sounds on the same side. What complication is most likely?

1. APulmonary embolism from the leg
2. BPneumothorax
3. CRe-accumulation of the effusion
4. DInfection at the puncture site

A patient with a COPD exacerbation has been on NIV for two hours. They are now more drowsy, and the pH has fallen further despite a good mask fit. What should the nurse do?

1. ARemove the mask and give nebulised bronchodilators only from now on
2. BContinue NIV unchanged and repeat the blood gas tomorrow morning
3. CGive a sedative to help the patient tolerate the mask
4. DEscalate urgently for review of intubation or a ceiling of care