1.やさしい
What does the INR measure?
- AThe number of platelets circulating in the blood
- BThe level of white cells in the blood
- CThe amount of iron stored in the body's liver and bone marrow
- DHow long the blood takes to clot, compared with a standard
2.やさしい
The term "dyspnoea" means:
- AA cough with sputum
- BChest pain on breathing
- CBreathlessness
- DNoisy breathing during sleep
3.やさしい
臨床の申し送りで SBAR は何を表しますか?
- A状況(Situation)、背景(Background)、評価(Assessment)、提案(Recommendation)
- B安全(Safety)、呼吸(Breathing)、覚醒度(Alertness)、リスク(Risk)
- C要約(Summary)、ベッドサイド(Bedside)、行動(Action)、見直し(Review)
- D症状(Symptoms)、血圧(Blood pressure)、気道(Airway)、呼吸数(Respiratory rate)
4.ふつう
Why are patients encouraged to use an incentive spirometer after abdominal surgery?
- ATo encourage deep breaths that prevent atelectasis and chest infection
- BTo measure their lung function so the result can go in the discharge letter
- CTo lower their heart rate before mobilising
- DTo strengthen the abdominal muscles around the wound
5.ふつう
Which instruction is correct for taking weekly alendronic acid (alendronate)?
- ATake it with plain water on an empty stomach and stay upright for 30 minutes
- BChew the tablet with breakfast and a cup of milky tea
- CTake it with a glass of milk at bedtime and then lie down straight away
- DTake it with an antacid to protect the stomach
6.ふつう
Which technique is correct when suctioning through a tracheostomy?
- AKeep suctioning for at least a minute each time to clear all the secretions
- BSuction every 15 minutes whether or not secretions are present
- CApply suction only while withdrawing the catheter, for no more than about 10–15 seconds
- DApply suction continuously while inserting the catheter as far as it will go
7.むずかしい
A patient who has had a kidney stone is taught about prevention. Which statement shows a need for further teaching?
- A"I will follow the diet advice for my stone type."
- B"I will aim to drink plenty of fluids spread through every day."
- C"I will try to pass pale urine."
- D"I will drink less water so I don't need to pass urine as often."
8.むずかしい
第 4 胸髄(T4)の脊髄損傷の患者に、突然ズキズキする頭痛、非常に高い血圧、損傷部位より上の発汗が起こりました。最初の行動は?
- A患者を座らせ、膀胱の充満やカテーテルの閉塞を確認する
- B脳の灌流を改善するため、患者を平らに寝かせて脚を上げる
- C大量の輸液を急速に投与して血圧を再確認する
- D鎮静薬を与えて 4 時間後に血圧を再確認する
解答
- 1. D · How long the blood takes to clot, compared with a standard
- 2. C · Breathlessness
- 3. A · 状況(Situation)、背景(Background)、評価(Assessment)、提案(Recommendation)
- 4. A · To encourage deep breaths that prevent atelectasis and chest infection
- 5. A · Take it with plain water on an empty stomach and stay upright for 30 minutes
- 6. C · Apply suction only while withdrawing the catheter, for no more than about 10–15 seconds
- 7. D · "I will drink less water so I don't need to pass urine as often."
- 8. A · 患者を座らせ、膀胱の充満やカテーテルの閉塞を確認する
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