1.やさしい
Why must patients and visitors never smoke or use naked flames near oxygen therapy?
- AFlames make the oxygen less effective
- BSmoke blocks the oxygen tubing and stops the flow
- COxygen turns cigarette smoke into a poisonous gas
- DOxygen makes things burn much more easily and fiercely
2.やさしい
「Sepsis Six」バンドルに含まれる項目は?
- A退院の手配をする
- B下剤を投与する
- C理学療法を始める
- D血液培養を採取する
3.やさしい
心筋梗塞に最も典型的な症状は?
- A深呼吸で悪化し、前かがみになると和らぐ鋭い痛み
- B肋骨の 1 本を押したときの鋭い痛み
- C腕やあごに広がることのある胸の中央の痛みや圧迫感
- D右下腹部だけの痛み
4.ふつう
甲状腺の手術後、患者に口の周りのしびれと筋肉のけいれん(こむら返り)があります。どの電解質の問題を疑うべきですか?
- A低カルシウム血症
- B高カリウム血症
- C高ナトリウム血症
- D高マグネシウム血症
5.ふつう
A patient with leukaemia has a very low platelet count. Which nursing precaution is appropriate?
- AGive medicines by intramuscular injection
- BEncourage contact sports to keep fit
- CTake temperatures rectally
- DUse a soft toothbrush and an electric razor
6.ふつう
After a total hip replacement through a posterior approach, which movement should the patient usually avoid in the early weeks?
- ALying on their back
- BDoing gentle ankle exercises
- CBending the hip beyond 90 degrees or crossing the legs
- DWalking short distances with a frame and a physiotherapist
7.むずかしい
Several hours after thyroid surgery, a patient has increasing neck swelling, stridor and difficulty breathing. What is most likely?
- AHypocalcaemia from parathyroid damage
- BNormal postoperative swelling
- CA haematoma compressing the airway
- DA thyroid storm
8.むずかしい
術後の患者で肺塞栓症を最も強く示唆する所見は?
- A頻脈を伴う突然の息切れと胸膜痛
- Bサルブタモールで良くなる喘鳴
- C1 週間かけてゆっくり始まる、黄色い痰を伴う咳と軽い発熱
- D高血圧を伴う遅い脈
解答
- 1. D · Oxygen makes things burn much more easily and fiercely
- 2. D · 血液培養を採取する
- 3. C · 腕やあごに広がることのある胸の中央の痛みや圧迫感
- 4. A · 低カルシウム血症
- 5. D · Use a soft toothbrush and an electric razor
- 6. C · Bending the hip beyond 90 degrees or crossing the legs
- 7. C · A haematoma compressing the airway
- 8. A · 頻脈を伴う突然の息切れと胸膜痛
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