1.やさしい
Why is jewellery removed or taped before surgery?
- ABecause metal raises the risk of postoperative nausea
- BBecause metal jewellery increases blood loss during the operation
- CTo make the patient's weight easier to measure
- DTo reduce the risk of diathermy burns and pressure injury
2.やさしい
「Sepsis Six」バンドルに含まれる項目は?
- A理学療法を始める
- B下剤を投与する
- C血液培養を採取する
- D退院の手配をする
3.やさしい
Long-term uncontrolled high blood pressure increases the risk of:
- AHypothyroidism, gout and hair loss
- BStroke, heart attack and kidney disease
- CAnaemia and osteoporosis
- DAsthma, eczema and hay fever
4.ふつう
1 型糖尿病の患者が嘔吐し、ほとんど食べていません。正しいシックデイの助言は?
- A低血糖を避けるため、普通に食べられるようになるまでインスリンを中止する
- B血糖の確認は 1 日 1 回だけにする
- Cインスリンを中止せず、血糖とケトンをより頻繁に確認する
- D嘔吐を防ぐために水分摂取を半分にする
5.ふつう
Which statement about storing insulin is correct?
- AAll insulin should be stored in the freezer to keep it fresh
- BInsulin should be kept in direct sunlight
- CInsulin never expires once opened
- DUnopened insulin is kept in the fridge and must not be frozen
6.ふつう
A nurse gives a patient analgesia for post-operative pain. What should be done next?
- AReassess the pain and any side effects once the drug has had time to work
- BGive a second analgesic straight away just in case
- CAssume the pain has gone if the patient is quiet and has their eyes closed
- DWait until the next shift before asking the patient about the pain
7.むずかしい
A patient has a blood pressure of 220/130 mmHg with headache, confusion and visual disturbance. Why is the blood pressure lowered in a controlled way rather than as fast as possible?
- AA sudden drop can reduce blood flow to the brain, heart and kidneys
- BBlood pressure cannot be lowered with drugs
- CRapid lowering always causes the hypertension to come back much worse
- DRapid lowering causes hyperglycaemia
8.むずかしい
A patient is taught to self-inject low-molecular-weight heparin. Which statement shows a need for further teaching?
- A"I will change the injection site each time."
- B"I will rub the area firmly after the injection."
- C"I will report any unusual bleeding or bruising."
- D"I will inject into the fatty tissue of my abdomen."
解答
- 1. D · To reduce the risk of diathermy burns and pressure injury
- 2. C · 血液培養を採取する
- 3. B · Stroke, heart attack and kidney disease
- 4. C · インスリンを中止せず、血糖とケトンをより頻繁に確認する
- 5. D · Unopened insulin is kept in the fridge and must not be frozen
- 6. A · Reassess the pain and any side effects once the drug has had time to work
- 7. A · A sudden drop can reduce blood flow to the brain, heart and kidneys
- 8. B · "I will rub the area firmly after the injection."
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