解答つき基礎看護学ワークシート

Where is the apical pulse best heard in an adult?

1. AAt the second intercostal space just right of the sternum
2. BAt the fifth intercostal space in the left midclavicular line
3. CAt the left side of the neck beside the windpipe
4. DOver the lower end of the sternum in the midline

Which infection needs airborne precautions?

1. AClostridioides difficile diarrhoea
2. BPulmonary tuberculosis
3. CAn MRSA wound infection
4. DA urinary tract infection with E. coli

What does a DNACPR decision (often called a DNR or DNAR order in the US) mean?

1. AThe patient must be moved to a hospice
2. BThe patient will receive no treatment at all
3. CThe patient can no longer be given oxygen, fluids or antibiotics
4. DCPR will not be attempted, but all other care continues

手動で血圧を測るとき、収縮期血圧を示すのはどの音ですか？

1. Aカフを膨らませる前に聞こえる音
2. B最も大きく聞こえる音
3. Cカフの圧を下げていくときに最初に聞こえるはっきりした叩くような音
4. Dカフの圧を下げていくときに、すべての音が消える点

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

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

尿道カテーテルの蓄尿バッグはどこに置くべきですか？

1. A膀胱より低い位置で、床から離して
2. B膀胱より高い位置に
3. C患者のお腹の上に
4. Dベッドの横の床の上に

ABO 不適合輸血の最も多い原因は何ですか？

1. A誤った温度での血液の不適切な保管
2. B患者や検体の確認の誤り
3. C血液を遅く入れすぎること
4. Dプラスチックバッグへのアレルギー

A patient with type 1 diabetes is vomiting and not eating. Which advice is correct?

1. ADrink only sugar-free fluids and stop testing for ketones until better
2. BHalve every dose and stop testing the glucose
3. CKeep taking basal insulin and check glucose and ketones more often
4. DStop all insulin until eating normally again