1.やさしい
Which of these is one of the "rights" of safe medication administration?
- ARight nurse on duty
- BRight route
- CRight brand of packaging
- DRight bed number
2.やさしい
In palliative care, a syringe driver is used to:
- ADrain fluid from the lungs
- BGive a single fast intravenous injection when symptoms flare up suddenly
- CMeasure blood glucose continuously
- DGive a continuous subcutaneous infusion of medicines, often over 24 hours
3.やさしい
けいれん発作を起こしたばかりで、今はうとうとしている患者に最優先すべきことは?
- A回復体位にして気道を確保する
- Bそれ以上観察せずに、酔いが覚めるまで眠らせておく
- C動かないように強く押さえる
- Dすぐに食べ物と水を与える
4.ふつう
Which features suggest pyelonephritis rather than simple cystitis?
- AFrequency without any pain
- BCloudy urine with no other symptoms
- CMild burning on passing urine only
- DFever, rigors and loin pain
5.ふつう
A dying patient can no longer drink and has a dry mouth. What is the most appropriate nursing care?
- ALeaving the mouth alone to avoid disturbing them
- BFrequent mouth care that keeps the lips and mouth moist
- CInserting a nasogastric tube for fluids
- DStarting a fast intravenous infusion to correct the dryness
6.ふつう
術後の患者で、心拍数 125/分、血圧 88/50 mmHg、ガーゼが血で染みています。何が起きていますか?
- A不安だけ
- B正常な痛みの反応
- C出血による循環血液量減少性ショック
- D尿路感染による敗血症性ショック
7.むずかしい
人工股関節全置換術後の患者に、突然強い股関節の痛みが起こり、脚が短くなって回旋しています。最も考えられる合併症は?
- Aふくらはぎの深部静脈血栓症
- B創感染
- C尿閉
- D人工関節の脱臼
8.むずかしい
Why are patients with nephrotic syndrome at increased risk of blood clots?
- ATheir blood pressure is always very low
- BThey lose all their red cells in the urine, which thickens the remaining blood
- CThey lose most of their platelets in the urine every day
- DAnticoagulant proteins are lost in the urine and clotting factors rise
解答
- 1. B · Right route
- 2. D · Give a continuous subcutaneous infusion of medicines, often over 24 hours
- 3. A · 回復体位にして気道を確保する
- 4. D · Fever, rigors and loin pain
- 5. B · Frequent mouth care that keeps the lips and mouth moist
- 6. C · 出血による循環血液量減少性ショック
- 7. D · 人工関節の脱臼
- 8. D · Anticoagulant proteins are lost in the urine and clotting factors rise
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