解答つき内科外科看護：消化器、周術期、がんワークシート

What does "coffee-ground" vomit usually indicate?

1. AA side effect of drinking strong coffee
2. BBile coming back from an obstructed small bowel
3. CUndigested food from several days ago
4. DBlood that has been partly digested by stomach acid

What is an incisional hernia?

1. AA pouch in the wall of the colon
2. BA bulge of stomach through the diaphragm
3. CA swelling in the groin present from birth
4. DA bulge through a weakened surgical scar

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

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

オピオイドに対する耐性を最もよく表す記述はどれですか？

1. A同じ効果を得るために、時間とともに高い用量が必要になること
2. B患者がその薬をもっと欲しいという強迫的な渇望を持つこと
3. C患者がその薬に対するアレルギーを起こしたこと
4. Dその薬がもう便秘を起こさなくなること

Which factor can precipitate hepatic encephalopathy in a patient with cirrhosis?

1. AA high fluid intake
2. BA low-salt diet
3. CRegular gentle walking
4. DConstipation

How is the height of an epidural sensory block usually checked?

1. ATesting sensation to cold with ice or a cold spray
2. BMeasuring the patient's blood glucose level
3. CChecking the colour of the patient's urine
4. DTapping the knee with a reflex hammer and recording the score

A patient with active cancer on chemotherapy develops new swelling and pain in one calf. Why must this be reported promptly?

1. ACalf swelling is a normal effect of chemotherapy
2. BCancer and its treatment greatly increase clot risk
3. CIt is only a muscle strain from walking
4. DThe swelling shows the cancer has gone

小腸閉塞の患者の経鼻胃管から1日2 Lが排液されています。最も重要な看護の焦点はどれですか？

1. A静注による補充と電解質チェックを伴う、正確な水分出納
2. Bチューブが除去する分を補うため、経口の水分を自由に与える
3. C喪失を防ぐため、1 L排液されたらチューブを抜去する
4. D胃液を温存するため、チューブを長時間クランプする