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

What is the Braden scale (or a similar tool such as Waterlow) used for?

1. AGrading the depth of a burn wound before dressing it
2. BAssessing the risk of developing pressure ulcers
3. CScoring the severity of nausea
4. DMeasuring a patient's level of consciousness

What does dysphagia mean?

1. APainful passing of urine
2. BDifficulty swallowing
3. CIndigestion after fatty food
4. DDifficulty speaking clearly

Why are many patients screened for MRSA before planned surgery?

1. ASo that surgery can be cancelled for all positive patients
2. BTo decide which anaesthetic drug to use
3. CTo check whether the patient has had a flu vaccine
4. DSo that carriers can be decolonised to reduce infection

Which wound drain observation should be reported immediately?

1. ADrainage slowly falling each day
2. BA little dried blood around the drain site
3. CSmall amounts of pink serous fluid
4. DA sudden large volume of fresh red blood

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毎日の体重と腹囲
2. B毎食前の毛細血管血糖
3. C1日2回の瞳孔の大きさと反応
4. Dピークフローと酸素飽和度

A patient arrives in the anaesthetic room without an identity band. What should the nurse do?

1. AStop and confirm identity, then apply a band
2. BProceed and add a band once in recovery
3. CProceed because the patient can say their name
4. DUse the spare identity band from the front of the patient's notes folder

Hours after an oesophageal dilatation, a patient has chest pain, fever and crackling swelling under the skin of the neck. What should the nurse suspect?

1. ASimple reflux after the dilatation
2. BNormal discomfort after the procedure
3. CAn allergic reaction to the sedative
4. DOesophageal perforation