解答つき基礎看護学ワークシート

Why is a tourniquet used when taking blood from a vein?

1. AIt sterilises the skin over the vein
2. BIt prevents bruising after the test
3. CIt makes the veins fill and easier to find
4. DIt stops the patient feeling the needle

Which drug is the first-line treatment for anaphylaxis?

1. AOral paracetamol
2. BAn oral antihistamine given on its own
3. CIntramuscular adrenaline (epinephrine)
4. DIntravenous antibiotics given straight away

Which behaviour may show that a patient is in pain but cannot say so?

1. AReading a newspaper calmly
2. BEating a full meal and chatting
3. CSleeping quietly and breathing slowly
4. DGrimacing and guarding a part of the body

意識のある糖尿病患者の血糖が低く、安全に飲み込むことができます。最初のステップは何ですか？

1. A医師が来るまで何も与えない
2. B次のインスリンを投与する
3. Cすぐに十分な食事を与え、翌朝に血糖を再測定する
4. D即効性の糖質を口から与え、血糖を再測定する

How should oxygen cylinders be stored on a ward?

1. AStacked on top of each other in a corridor
2. BLying loose on the floor under the bed so they cannot fall over
3. CIn a warm cupboard next to the radiator
4. DSecured upright in a holder or trolley, away from heat

進行した認知症の患者は自分の痛みを表現できません。痛みはどのように評価すべきですか？

1. A患者が訴えたり助けを呼んだりしない限り、痛みはないとみなして
2. B0～10 の数値評価スケールだけを使って
3. C面会者に痛みの点数を推測してもらって
4. D表情などの行動を点数化する観察式の疼痛評価ツールで

A stable patient is woken every hour for observations and is becoming tired and confused. What is the best nursing action?

1. AAsk the team whether the observations can safely be done less often
2. BKeep the same plan, as observations matter more than sleep for patients
3. CStop all observations so the patient can sleep
4. DAsk the doctor for a sedative to help the patient sleep

A patient has a generalised tonic-clonic seizure in bed. What should the nurse do?

1. APut a spoon between the teeth to stop tongue biting
2. BHold the arms and legs firmly so that the jerking movements stop more quickly
3. CGive a drink of water as soon as the jerking starts
4. DProtect the head, move objects away, time it and do not restrain