解答つき内科外科看護：消化器、周術期、がんワークシート

治癒中の創で、赤く、湿っていて、顆粒状に見える組織はどれですか？

1. A黄色い壊死組織（スラフ）
2. B乾燥した痂皮（エスカー）
3. C肉芽組織
4. D壊死組織

Which finding describes a category 1 pressure ulcer?

1. AIntact skin with redness that does not blanch
2. BA shallow open wound with a red-pink base and no slough
3. CAn open wound with visible bone at the base
4. DA wound covered with thick black eschar

Why is nail varnish or a gel nail often removed from at least one finger before surgery?

1. ABecause the varnish can make the anaesthetic gas less effective
2. BBecause varnish raises the patient's blood pressure
3. CBecause it is a checklist rule with no clinical reason
4. DSo pulse oximetry readings and nail colour can be assessed accurately

オピオイドを使っている患者の鎮静が強くなったとき、なぜそれが重要なのですか？

1. A鎮静は、すべてのオピオイドの無害で予想される作用だから
2. B鎮静は、痛みが完全に安全にコントロールされたことを意味するから
3. C鎮静は、今はより高い用量が必要であることを意味するから
4. D鎮静の進行は、通常、呼吸抑制に先行するから

A patient with obstructive sleep apnoea is admitted for surgery. Which instruction is most appropriate?

1. AStop all pain relief for the first three days
2. BLie flat on their back for the first night
3. CAvoid sleeping at all on the night after surgery
4. DBring their CPAP machine to use after surgery

What is the most important safety point about misoprostol?

1. AIt must be given only by deep intramuscular injection
2. BIt causes severe constipation in most patients
3. CIt can cause miscarriage and must not be used in pregnancy
4. DIt strongly raises blood glucose in people with diabetes

A patient asks whether to take their usual bisoprolol on the morning of surgery. What is the usual guidance?

1. AStop it one week before any operation
2. BTake it only after the operation is finished
3. CTake a double dose to protect the heart
4. DUsually continue it with a sip of water, unless told otherwise

A surgical patient's MUST score is 3 and the wound is healing slowly. What is the most appropriate action?

1. ARefer to the dietitian, start a nutrition plan and monitor intake
2. BRepeat the score in three months' time
3. CEncourage fasting to reduce wound exudate and the size of the dressing
4. DRestrict protein to help the kidneys