解答つき内科外科看護：神経、内分泌、腎臓ワークシート

速効型と中間型（NPH、白濁）のインスリンを1本の注射器で混ぜるとき、最初に吸い上げるのはどちらですか？

1. A透明な速効型インスリン、次に白濁したインスリン
2. B1つのバイアルで混ぜてから、両方を一緒に
3. C違いはないので、どちらが先でもよい
4. D白濁したインスリン、次に透明な速効型インスリン

How does haemodialysis remove waste from the blood?

1. AThe waste is removed through a tube in the bladder
2. BWaste diffuses across a membrane into a cleaning fluid
3. CThe blood is spun so that waste sinks to the bottom
4. DA filter in the stomach absorbs waste from food

What is the most common cause of intrinsic (renal) acute kidney injury in hospital?

1. AAn enlarged prostate
2. BAcute tubular necrosis
3. CKidney stones
4. DPolycystic kidney disease

Why is an ACE inhibitor often given to a patient with diabetes and albumin in the urine?

1. AIt stops the kidneys from passing so much urine at night
2. BIt protects the kidneys and reduces albumin loss
3. CIt lowers the blood glucose to normal
4. DIt raises potassium to protect the heart

Which group of problems is typical of primary hyperparathyroidism?

1. AKidney stones, bone pain, abdominal pain and low mood
2. BHair loss, weight gain and feeling cold
3. CHeat intolerance, tremor, weight loss and diarrhoea
4. DMuscle cramps, tingling lips and seizures

A patient with advanced CKD asks how to manage indigestion. Which option should they avoid?

1. AEating smaller, more frequent meals
2. BRaising the head of the bed at night
3. CMagnesium-containing antacids
4. DAvoiding large meals late in the evening

CKDの患者のヘモグロビンが92 g/Lで、赤血球造血刺激因子製剤（ESA）を開始します。看護師は何をモニタリングすべきですか？

1. A聴力。ESAは内耳を傷めることがあるため
2. B血圧とヘモグロビン。上がりすぎると血栓のリスクが高まるため
3. C肝酵素。ESAは肝臓に毒性があるため
4. D血糖。ESAはしばしば低血糖を起こすため

A patient with AKI has a low urine sodium and concentrated urine. What does this suggest?

1. ADiabetes insipidus, with too little ADH
2. BAcute tubular necrosis, with damaged and leaking tubules
3. CA post-renal blockage, with urine backed up
4. DA pre-renal cause, with kidneys holding salt and water