解答つき基礎看護学ワークシート

せん妄とは何ですか？

1. A注意と意識の、突然起こり変動する障害
2. B正常な老化の一部
3. C何年もかけてゆっくり進行する記憶と思考の喪失
4. D生涯にわたる知的障害

What is the main reason patients are kept nil by mouth before a general anaesthetic?

1. ATo lower the blood pressure during the operation
2. BTo make the anaesthetic drugs taste better
3. CTo make the patient lose weight before surgery
4. DTo reduce the risk of inhaling stomach contents

What does serous wound exudate look like?

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

An IV cannula site is swollen, cool and pale, and the infusion has slowed. What should the nurse do first?

1. AFlush the cannula hard with saline
2. BIncrease the infusion rate to clear the blockage
3. CStop the infusion and remove the cannula
4. DApply a warm pack and keep the infusion running

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

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

How is pitting oedema checked?

1. APress on the nail bed and time the return of colour
2. BPinch the skin on the back of the hand and see how fast it falls back
3. CPress over a bony area such as the shin for a few seconds and look for a dent
4. DMeasure the width of both calves with a tape measure once a week and compare them

The daughter of a dying patient is upset that her mother has stopped eating. What is the best response?

1. AEncourage her to help her mother eat a full meal at every mealtime
2. BExplain that losing appetite is a natural part of dying
3. CTell her a feeding tube will be inserted straight away
4. DTell her it means the staff have not been feeding her mother

1 型糖尿病の若い患者に、深く速い呼吸、息の果物のようなにおい、嘔吐、脱水のサインがあります。何を疑うべきですか？

1. A単純なウイルス性の胃腸の感染症
2. B糖尿病性ケトアシドーシス
3. C不安による過換気
4. D低血糖