解答つき内科外科看護：神経、内分泌、腎臓ワークシート

Post-streptococcal glomerulonephritis typically follows which event?

1. AA throat or skin infection a few weeks earlier
2. BAn episode of bloody diarrhoea from food poisoning
3. CA long course of antibiotics for pneumonia
4. DA kidney stone passed the week before

A febrile patient has a rash that does not fade when a glass is pressed against it. What should the nurse suspect?

1. AAn allergic reaction to soap
2. BHeat rash from a high temperature
3. CMeningococcal septicaemia
4. DA simple viral skin rash

Which heart rhythm greatly increases the risk of an embolic stroke?

1. AAtrial fibrillation
2. BSinus bradycardia
3. CSinus arrhythmia
4. DFirst-degree heart block

A patient on insulin asks about drinking alcohol. Which advice is correct?

1. AAlcohol has no effect on blood glucose in people with diabetes
2. BAlcohol should replace a meal on the days it is drunk
3. CAlcohol can cause hypos, even the next day, so eat carbs with it
4. DAlcohol raises glucose, so extra insulin should be taken first

DKAの治療中に、血糖が約14 mmol/L（約250 mg/dL）を下回りましたが、ケトンはまだ高いままです。通常どうしますか？

1. A水分過剰を避けるため、すべての静注輸液を中止する
2. Bインスリンの注入を直ちに中止する
3. C輸液にブドウ糖を加え、インスリンを続ける
4. D患者が食事をとり、静注治療を中止する

フェニトインの静注について正しい記述はどれですか？

1. A数秒で急速に静注すべきである
2. Bどんなブドウ糖輸液にも混ぜられる
3. C0.9%塩化ナトリウムに入れて、心電図モニタリング下で投与する
4. D心リズムや血圧のモニタリングは不要である

After a stroke, a patient suddenly cries or laughs at odd moments. They say they do not feel sad. Which response is most appropriate?

1. AExplain that this is emotional lability after stroke and help the family understand
2. BAsk the doctor for a sedative to stop the outbursts
3. CIgnore it, because it shows that the patient is seeking attention from the staff
4. DTell the patient that crying will slow their recovery

A patient with long-standing diabetes suddenly has many new floaters and painless loss of vision in one eye. What is most likely, and what is needed?

1. ADry eyes, needing lubricating drops
2. BA migraine aura, needing pain relief
3. CA bleed into the eye from retinopathy, needing urgent review
4. DNormal ageing of the lens, needing new glasses