解答つき基礎看護学ワークシート

What is sepsis?

1. AA mild local infection that stays in one place, such as a small boil
2. BOrgan dysfunction caused by a harmful response to infection
3. CAn allergic reaction to an antibiotic that causes a rash and fever
4. DA viral infection of the upper airways

Which physical assessment technique means listening to body sounds with a stethoscope?

1. AInspection
2. BAuscultation
3. CPalpation
4. DPercussion

Which of these is an example of secondary prevention?

1. ATeaching children to wash their hands
2. BCervical screening to detect early changes
3. CGiving a flu vaccine to an older adult
4. DPhysiotherapy after a hip replacement

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

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

インフォームド・コンセントとは何ですか？

1. A処置のあとに得た同意
2. B家族の誰かの署名
3. C判断能力のある患者が十分な説明を受けたうえで自発的に同意すること
4. D処置によって生じたいかなる害についても、スタッフのあらゆる責任を免除する署名済みの書式

患者の橈骨動脈の脈が不規則です。どのように数えるべきですか？

1. A10 秒間数えて 6 倍する
2. B15 秒間数えて 4 倍する
3. C自動血圧計でだけ確認する
4. Dまる 60 秒間、できれば心尖部で数える

ABO 不適合輸血の最も多い原因は何ですか？

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

On the sacrum there is a shallow open area with a pink wound bed and no slough. How is this pressure ulcer classified?

1. ACategory 3
2. BCategory 1
3. CCategory 2
4. DCategory 4