解答つき内科外科看護：消化器、周術期、がんワークシート

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

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

Which finding describes a category 1 pressure ulcer?

1. AIntact skin with redness that does not blanch
2. BA shallow open wound with a red-pink base and no slough
3. CA wound covered with thick black eschar
4. DAn open wound with visible bone at the base

患者自己調節鎮痛法（PCA）ポンプのボタンを押すべきなのは誰ですか？

1. A患者が眠っている間の親族
2. B患者が頼んだ面会者なら誰でも
3. C患者本人のみ
4. D各勤務の開始時の看護師

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

1. ASwap to aspirin on the morning of surgery
2. BStop it about 5 days before and check the INR
3. CTake the usual dose on the morning of surgery
4. DDouble the dose for a week so the blood is ready for surgery

How should a patient with facial burns usually be positioned?

1. ALying face down on the pillow to protect the airway
2. BWith the head of the bed raised to reduce swelling
3. CLying flat with the head lower than the feet
4. DIn any position that keeps the face covered

A patient with a new colostomy asks what to eat at home. Which advice is most appropriate?

1. AEat only liquids until the stoma is removed
2. BDrink as little fluid as possible to reduce output
3. CAvoid all fruit and vegetables for the rest of their life
4. DEat a normal, balanced diet and introduce foods gradually

肝硬変と腹水のある患者に、新たな発熱、腹部の圧痛、錯乱の悪化が現れました。どの合併症を疑うべきですか？

1. A腹水の正常な進行
2. B特発性細菌性腹膜炎
3. C急性膵炎
4. D単純な便秘

循環不良のある患者のかかとにある、安定した乾燥した無傷の黒色のエスカーに対して、一般に推奨される管理はどれですか？

1. Aそのまま残し、かかとを除圧し、診察を依頼する
2. Bやわらかくするため、毎日水に浸す
3. Cきつい圧迫包帯で覆う
4. D今日、ベッドサイドで鋭的デブリードマンにより取り除く