解答つき基礎看護学ワークシート

What is sepsis?

1. AAn allergic reaction to an antibiotic that causes a rash and fever
2. BOrgan dysfunction caused by a harmful response to infection
3. CA mild local infection that stays in one place, such as a small boil
4. DA viral infection of the upper airways

注射のあと、使用済みの針はどうすべきですか？

1. Aリキャップせずに、すぐに鋭利物廃棄容器に入れる
2. B一般ごみの容器に入れる
3. C両手で慎重にリキャップする
4. D処置が終わってから捨てるために、トレーに置いておく

What is eschar?

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

What makes "Risk for falls" a risk nursing diagnosis rather than an actual one?

1. AThe fall has not happened yet, but risk factors are present
2. BThe doctor has confirmed the diagnosis with tests and a scan
3. CThe patient has already fallen several times
4. DThe problem can never be prevented

入院患者の便秘の予防に役立つ対策はどれですか？

1. A便意をがまんする
2. B十分な水分、食物繊維、身体活動
3. C腸を休ませるため、水分を制限してベッドにとどまる
4. D果物と野菜を避ける

A smoker says, "I know I should stop, and I'm thinking about it some time in the next few months." Which stage of change is this?

1. AMaintenance
2. BContemplation
3. CPrecontemplation
4. DPreparation

A pulse oximeter reads 82% on a patient with cold hands who is talking in full sentences with a normal respiratory rate. What is the best first action?

1. ARecord the reading and recheck it at the next routine set of observations
2. BCheck the patient and probe, then warm the hand or move the probe
3. CRemove any oxygen because the reading must be wrong
4. DIgnore the reading because the patient looks well

On the day after surgery, a patient's new stoma has turned dark purple. What should the nurse do?

1. AWait a week to see whether it changes
2. BClean it firmly to remove the colour
3. CRecord it as normal bruising after surgery and recheck tomorrow
4. DReport it urgently, as the stoma may be losing its blood supply