解答つき内科外科看護：神経、内分泌、腎臓ワークシート

内シャントのある患者が、もう「ブンブン」しなくなったと言います。看護師はどうすべきですか？

1. A夜間は正常なことだと安心させる
2. B血流を確認するために、その腕で血圧を測る
3. C緊急に報告する。シャントが閉塞したかもしれない
4. D血流を再開させるために、きつい包帯を巻く

クッシング症候群に典型的な特徴はどれですか？

1. A中心性の体重増加、満月様顔貌、薄い皮膚、高血糖
2. B体重減少、低血圧、皮膚の黒ずみ
3. Cひどい口渇を伴う、大量の薄い尿
4. D寒がり、遅い脈、乾燥した皮膚、びまん性の脱毛

Which symptoms are typical of cystitis (a bladder infection)?

1. AHigh fever, shaking rigors and pain in the loin
2. BBurning on passing urine, frequency and urgency
3. CPainless red urine with clots
4. DSwelling of the ankles and frothy urine

脳卒中の静注血栓溶解療法の前に、一般に用いられる血圧の基準値はどれですか？

1. A約200/120 mmHgを超える
2. B約185/110 mmHg未満
3. C血圧の基準値はない
4. D約90/60 mmHg未満

A patient with CKD is booked for a CT scan with iodinated contrast. Which measure helps protect the kidneys?

1. AGiving a dose of ibuprofen before the scan
2. BRestricting all fluids for 24 hours before the scan
3. CDoubling the dose of contrast for a clearer image
4. DGood hydration around the scan, often with IV fluids

An 80-year-old with angina is diagnosed with hypothyroidism. How is levothyroxine usually started?

1. AAt a full dose from the first day
2. BOnly after the angina has been cured
3. CAt a low dose, increased slowly
4. DAs a single large weekly injection

The nurse has four endocrine patients. Which one needs to be seen first?

1. AA patient after thyroidectomy with mild pain on swallowing
2. BA patient with hyperthyroidism who is confused, with a temperature of 39.5 °C (103.1 °F)
3. CA patient with hypothyroidism who has been constipated for three days
4. DA patient with Graves' disease asking about radioactive iodine

An older patient with a UTI is now confused, with a respiratory rate of 24/min, BP 88/50 mmHg and a pulse of 120/min. What should happen?

1. AStart sepsis care at once, with IV antibiotics and fluids
2. BTreat the confusion with a sedative
3. CEncourage oral fluids and wait for the urine culture
4. DGive oral antibiotics and recheck in four hours