解答つき基礎看護学ワークシート

What does "polyuria" mean?

1. APassing urine painfully or with a burning feeling
2. BPassing large amounts of urine
3. CPassing no urine at all
4. DPassing urine at night

What does serous wound exudate look like?

1. AThick, green or yellow and foul-smelling
2. BBright red and fresh, like blood from a cut
3. CClear and watery, sometimes pale yellow
4. DPink and frothy

What is eschar?

1. AThick, dry, black or brown dead tissue in a wound
2. BSoft, yellow, stringy dead tissue in a wound
3. CPink new skin growing in from the wound edge
4. DHealthy red, bumpy new tissue in a wound

Why do nurses often count the respiratory rate while still appearing to take the pulse?

1. AThe pulse and breathing rates are always the same number
2. BIt is not allowed to tell patients that breathing is measured
3. CPatients who know their breathing is watched tend to change it
4. DCounting breaths is only accurate when the wrist is held

使用前に経鼻胃管が胃内にあることを確認する最も確実な方法は？

1. A患者に違和感がないか聞く
2. B吸引物の pH を調べ、必要なら胸部 X 線を撮る
3. Cチューブの先を水に入れて泡が出るか見る
4. D空気を注入して「ゴボッ」という音を聴く

While wearing sterile gloves, where should the nurse keep their hands?

1. AResting on the edge of the sterile field
2. BBehind the back when not in use
3. CAbove waist level and in sight
4. DFolded under the armpits to keep warm

A patient with a new colostomy has been taught stoma care. Which statement shows a need for further teaching?

1. A"I'll cut the opening much bigger than my stoma so it doesn't rub."
2. B"I'll check the skin around my stoma when I change the bag."
3. C"I'll dry the skin well before putting on a new bag."
4. D"I'll measure the stoma again as it shrinks over the next weeks."

Which postoperative finding should be reported most urgently?

1. ATemperature 37.4 °C on the first day
2. BRespiratory rate 8/min and difficult to rouse
3. CPain score of 4/10 at the wound site when moving
4. DUrine output of 50 mL in the last hour