解答つき基礎看護学ワークシート

What does "nocturia" mean?

1. APassing urine only in the morning
2. BWaking at night to pass urine
3. CBeing unable to sleep because of pain
4. DBedwetting in young children only

What is IV infiltration?

1. ALeakage of a non-irritant fluid into the tissue around the vein
2. BA blood clot forming at the tip of the cannula
3. CAn infection of the blood from the cannula
4. DInflammation of the vein wall caused by irritation from the cannula

What is another word for fever?

1. AHypotension
2. BPyrexia
3. CHypoxia
4. DHypothermia

A dying patient is no longer drinking and breathes through the mouth. What mouth care is most appropriate?

1. AAvoid mouth care so the patient is not disturbed
2. BClean the mouth only once a day with a hard toothbrush
3. CGive large drinks of water every hour
4. DKeep the mouth and lips moist with frequent gentle care

A patient can wash their face and arms but cannot reach their back and feet. What is the best approach?

1. ALeave the back and feet unwashed
2. BLet the patient do what they can and help with the rest
3. CAsk the patient to wait until a relative visits
4. DWash the patient completely yourself to save time and effort

輸血中に患者が発熱、悪寒戦慄、背部痛を起こしました。看護師がまず行うべきことは？

1. A輸血の速度を落とし、1 時間後に観察を再確認する
2. B輸血を止め、至急医師の助けを呼ぶ
3. Cアセトアミノフェンを与えて輸血を続ける
4. D曝露を減らすために急いでバッグを終える

A dying patient's breathing gets deeper and faster, then shallower, followed by a pause with no breathing, in a repeating cycle. What is this pattern called?

1. AParadoxical breathing
2. BBiot's breathing
3. CKussmaul breathing
4. DCheyne–Stokes breathing

Two days after surgery a patient has a temperature of 37.9 °C and reduced breath sounds at the lung bases. What is the most helpful nursing action, alongside reporting it?

1. AStop all pain relief so the patient stays alert
2. BEncourage deep breathing, coughing and getting out of bed
3. CRestrict all fluids to dry the secretions
4. DKeep the patient lying flat in bed so they can rest and save energy