解答つき基礎看護学ワークシート

Which of these is an example of non-verbal communication?

1. AA telephone handover
2. BThe words chosen in a conversation
3. CFacial expression and eye contact
4. DA written care plan

浮腫とは何ですか？

1. A皮膚の下のあざ
2. B感染によって生じる皮膚の発赤と熱感
3. C組織内の過剰な水分による腫れ
4. D乾燥してはがれる皮膚

Which part of a sterile field is considered not sterile?

1. AThe outer 2.5 cm (1 inch) border
2. BThe area just in front of the nurse
3. CItems placed in the middle of the field
4. DThe centre of the field

Before fitting anti-embolism stockings, what should the nurse do?

1. AFit them over existing bandages or wounds
2. BChoose a size by looking at the patient's shoe size and weight
3. CMeasure the legs to get the right size and check for arterial disease
4. DFit the tightest size available so the stockings give the best effect

Why should reddened skin over a bony area not be massaged?

1. AMassage makes the redness spread to other areas
2. BMassage is only allowed when done by a physiotherapist
3. CMassage hides early signs of infection
4. DMassage can damage the deeper tissues further

A patient says, "I've never seen this tablet before," as the nurse offers it. What should the nurse do?

1. AGive half the tablet until the doctor visits
2. BStop and recheck the prescription before giving it
3. CReassure the patient that the tablet is correct and give it
4. DLeave the tablet on the table for the patient to take later

Which measure is most important in protecting a patient with severe neutropenia from infection?

1. ATaking the temperature every hour
2. BStrict hand hygiene by everyone who enters the room
3. CKeeping the room door open for fresh air
4. DGiving the patient a high-protein diet with extra vitamin supplements

カテーテルを留置している体重 70 kg の術後患者の尿量が、この 3 時間、1 時間あたり 20 mL です。最も適切な解釈は？

1. A手術後の正常な尿量
2. B水分制限が必要な多尿
3. C朝のチームが確認するまで安全に放置してよい、カテーテルの閉塞
4. D0.5 mL/kg/h を下回っているため、エスカレーションすべき乏尿