解答つき内科外科看護：消化器、周術期、がんワークシート

全層熱傷に典型的な特徴はどれですか？

1. A日焼けのような、水疱のない赤く痛い皮膚
2. B大きく痛みを伴う水疱のある、湿ったピンク色の皮膚
3. C圧迫で白くなり、数日で治る皮膚
4. D革のように硬い白色または茶色の皮膚で、痛みがない

成人の9の法則で、片腕全体は体表面積の何%ですか？

1. A36%
2. B1%
3. C18%
4. D9%

急性膵炎の診断によく用いられる血液検査はどれですか？

1. A正常上限の3倍を超えるビリルビン
2. B甲状腺刺激ホルモン値
3. C99パーセンタイルを超えるトロポニン
4. D正常値の3倍超のリパーゼまたはアミラーゼ

A patient on enteral feeding develops diarrhoea. What should the nurse review first?

1. AThe patient's eye drops and skin creams
2. BThe patient's mobility aids and walking distance
3. CThe colour of the feeding bag label
4. DThe medicine chart, including laxatives and antibiotics

For which stoma can colostomy irrigation be considered?

1. AA new ileostomy in the first week
2. BAny stoma that has liquid or very loose output
3. CAn established descending or sigmoid colostomy
4. DAn ileal conduit draining urine

腹水の経過を追うために用いる、ベッドサイドのアセスメントはどれですか？

1. A毎食前の毛細血管血糖
2. B毎日の体重と腹囲
3. Cピークフローと酸素飽和度
4. D1日2回の瞳孔の大きさと反応

A patient with a severe flare of ulcerative colitis develops abdominal distension, fever and tachycardia, and the stool frequency has dropped. What should the nurse suspect?

1. AHaemorrhoids caused by diarrhoea
2. BToxic megacolon
3. CSimple constipation from low intake
4. DThe flare is getting better

A patient with gastric outlet obstruction has vomited repeatedly for several days. Which blood picture is most likely?

1. AHigh calcium, high sodium and respiratory acidosis
2. BNormal electrolytes with respiratory alkalosis
3. CHigh chloride, high potassium and metabolic acidosis
4. DLow chloride, low potassium and metabolic alkalosis