解答つき内科外科看護：神経、内分泌、腎臓ワークシート

Which symptoms are typical of uraemia in advanced kidney disease?

1. AItching, nausea, tiredness and poor appetite
2. BExcess thirst with a very high glucose
3. CHeat intolerance, tremor and weight loss
4. DSevere flank pain with visible blood in the urine

糖尿病性ケトアシドーシスに典型的な呼吸パターンはどれですか？

1. A深く速い呼吸（クスマウル呼吸）
2. B喘鳴を伴う速く浅いあえぎ呼吸
3. Cゆっくりで浅い呼吸
4. Dチェーンストークス呼吸

What does a complete spinal cord injury mean?

1. AAll vertebrae in the neck are broken
2. BThe spinal cord has been cut into two separate pieces
3. CThe patient can move but cannot feel below the injury
4. DNo movement or feeling below the injury, even in the sacral area

Which side effects are common with oxybutynin for an overactive bladder?

1. ADiarrhoea and heavy sweating
2. BA cough and a raised potassium
3. CWeight loss and a fast tremor
4. DDry mouth and constipation

A man starts tamsulosin for BPH. Which teaching point is most important?

1. AExpect the drug to shrink the prostate within a day
2. BStand up slowly, because it can make you dizzy
3. CTake it with grapefruit juice to make it work better
4. DStop it if the urine stream improves

Why is pyridostigmine often taken about 30–60 minutes before meals by patients with myasthenia gravis?

1. ATo lower the blood glucose rise after eating a meal
2. BTo stop the drug from irritating an empty stomach later on
3. CTo improve the strength of chewing and swallowing at mealtimes
4. DTo reduce stomach acid so the food is digested better

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

1. AA patient after TURP with light pink drainage and mild discomfort
2. BA patient with a suprapubic catheter due for a routine change
3. CA patient with a nephrostomy who has rigors and a BP of 86/50 mmHg
4. DA patient with stress incontinence asking about pelvic floor exercises

An 84-year-old man became more confused a week after starting oxybutynin. Infection has been ruled out. What should the nurse suspect?

1. AA sign that the drug dose is too low
2. BAnticholinergic side effects of the drug
3. CA symptom of a high potassium from the drug
4. DNormal ageing that needs no review