解答つき内科外科看護：消化器、周術期、がんワークシート

WHO手術安全チェックリストの目的は何ですか？

1. A手術後に患者が飲食したいものを記録すること
2. B外科医の研修と経験を一覧にすること
3. C計画された手術のインフォームド・コンセントの代わりになること
4. D手術の前、最中、後に重要な安全確認が行われるようにすること

成人の熱傷の初期蘇生に、通常用いる輸液はどれですか？

1. Aハルトマン液（乳酸リンゲル液）
2. B経口の炭酸入りコーラ
3. C静注用の注射用滅菌水
4. D静注の50%ブドウ糖液

Which feature is typical of ulcerative colitis?

1. APatchy inflammation anywhere from mouth to anus
2. BInflammation of the full thickness of the small bowel
3. CInflammation limited to the oesophagus
4. DContinuous inflammation starting at the rectum

A patient on warfarin is booked for elective surgery with a high bleeding risk. What is usual practice?

1. ATake the usual dose on the morning of surgery
2. BDouble the dose for a week so the blood is ready for surgery
3. CStop it about 5 days before and check the INR
4. DSwap to aspirin on the morning of surgery

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

1. ABring their CPAP machine to use after surgery
2. BAvoid sleeping at all on the night after surgery
3. CStop all pain relief for the first three days
4. DLie flat on their back for the first night

Which is correct when caring for a patient with a PICC line?

1. AUse the PICC arm for heavy lifting to keep it flexible
2. BLeave the external length unchecked once it is placed
3. CAvoid taking blood pressure on the arm with the line
4. DFlush the line only when it blocks

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

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

A patient with small cell lung cancer is confused and drowsy. Sodium is 118 mmol/L and the urine is highly concentrated. Which complication is likely?

1. ASIADH
2. BDiabetes insipidus
3. CHypercalcaemia of malignancy
4. DTumour lysis syndrome