解答つき内科外科看護：消化器、周術期、がんワークシート

Which two sites are most common for pressure ulcers in patients lying in bed?

1. AThe thighs and the upper arms
2. BThe palms and the forehead
3. CThe sacrum and the heels
4. DThe forearms and the knees

機械的小腸閉塞の初期に典型的な腸音はどれですか？

1. A最初から完全に消失した音
2. B高調で、金属音のような音
3. C胸膜摩擦音
4. D小さく正常なゴロゴロという音

What is a PICC line?

1. AA short cannula in a vein on the back of the hand
2. BA catheter placed in the bladder through the lower abdominal wall
3. CA tube inserted into the stomach through the abdomen
4. DA central venous catheter inserted through a vein in the arm

After a spinal anaesthetic, which nursing check is particularly important?

1. ABlood glucose every 15 minutes overnight
2. BReturn of leg sensation and movement, and passing urine
3. CPeak flow before and after each meal
4. DPupil reaction every five minutes for the next full day

Aspirate from a nasogastric tube has a pH of 7. What should the nurse do?

1. AFlush with 50 mL of air and start the feed
2. BDo not use it; re-test later or arrange an X-ray as per policy
3. CStart the feed slowly and watch the patient closely for coughing
4. DGive the medicines but not the feed

How are skin staples usually removed from a healed incision?

1. AAll staples at once by pulling each one straight up from the skin
2. BAlternate staples first, then the rest if the wound holds
3. CThe staples are left in permanently under the skin
4. DOnly the staples at each end, leaving the others for good

After a high-voltage electrical injury, a patient's urine is dark red-brown. What does this suggest and what is the usual aim?

1. ANormal concentrated urine; restrict fluids
2. BA urinary infection; send a sample and wait for the result
3. CBleeding from the bladder; stop all fluids
4. DMyoglobin from muscle damage; a higher urine output target

Why is an SGLT2 inhibitor such as dapagliflozin usually withheld before surgery?

1. AIt interacts with all general anaesthetic gases and stops them working
2. BIt raises the risk of ketoacidosis, even with near-normal glucose
3. CIt makes the patient's potassium dangerously high
4. DIt causes the surgical wound to bleed more