解答つき基礎看護学ワークシート

What happens in the implementation step of the nursing process?

1. AThe planned nursing care is carried out
2. BThe patient's problems are identified
3. CGoals are written for the first time
4. DData about the patient are collected

次のうち脱水のサインはどれですか？

1. A足首のむくみ
2. Bゆっくりした力強い脈
3. C粘膜の乾燥と濃い色の尿
4. D頻回の薄い色の尿

安静時の成人の正常な呼吸数はどれくらいですか？

1. A1 分間に 12～20 回
2. B1 分間に 20～30 回
3. C1 分間に 30～40 回
4. D1 分間に 6～10 回

多くの現代の創傷被覆材が創を湿った状態に保つように作られているのはなぜですか？

1. A湿気が創の中のすべての細菌を殺すから
2. B湿潤環境がより速い治癒を助けるから
3. C乾いた創は決して感染しないから
4. D湿潤タイプの被覆材は交換が不要だから

A catheterised patient has had no urine in the bag for two hours. What should the nurse check first?

1. AWhether the patient has eaten or drunk anything recently
2. BThe tubing for kinks or blockage and where the bag is
3. CNothing, as two hours without urine is normal
4. DThe patient's blood glucose level and recent insulin doses

A patient you are walking with starts to fall. What should you do?

1. AGrab them under the armpits and lift them
2. BTry to hold them upright with your arms around their chest
3. CEase them gently to the floor while protecting their head
4. DLet go quickly and call for help

A dehydrated patient is receiving IV fluids. Which finding best shows the treatment is working?

1. AThe heart rate rises and the skin becomes cooler
2. BThe urine becomes darker and more concentrated
3. CThe patient feels more thirsty than before the fluids started
4. DUrine output rises and the heart rate falls towards normal

How should a urine sample be taken from a patient with a urinary catheter?

1. ABy removing the catheter and collecting the next void
2. BBy disconnecting the catheter from the bag
3. CFrom the sampling port, using aseptic technique
4. DFrom the drainage bag tap