1.やさしい
患者の尿量を観察しています。成人で目標としてよく使われる 1 時間あたりの最低尿量は?
- A1 kg あたり 1 時間に約 5 mL
- B体重 1 kg あたり 1 時間に約 0.5 mL
- C1 日に少しでも尿が出ていれば何 mL でもよい
- D1 kg あたり 1 時間に約 0.05 mL
2.やさしい
What is oral mucositis, a common side effect of chemotherapy?
- ASwelling of the salivary glands from dehydration
- BA fungal infection of the toenails that spreads to the mouth
- CA loss of taste only
- DPainful inflammation and ulceration of the lining of the mouth
3.やさしい
低血糖に典型的な症状はどれですか?
- A強いのどの渇きと多尿
- B発汗、ふるえ、混乱
- Cフルーツのような息のにおいを伴う深く速い呼吸
- D温かく乾いた皮膚と遅い脈
4.ふつう
What should the nurse regularly check for a patient with a syringe driver?
- AThe infusion site, the rate and volume remaining, and the patient's symptoms
- BNothing, once the syringe driver is running
- COnly that the battery is charged and the device is switched on
- DOnly the patient's weight, measured once a week on the same scales
5.ふつう
When is a rapid-acting insulin such as insulin aspart usually given?
- AOnce a week
- BJust before or with a meal
- COnly at bedtime
- DTwo hours after finishing a meal
6.ふつう
A confused patient keeps trying to climb out of bed. Why are bed rails not automatically the answer?
- APatients can be seriously injured climbing over or becoming trapped in rails
- BBed rails always make patients more confused, but only during the day
- CBed rails are illegal in all hospitals and must never be used at all
- DBed rails stop staff from taking observations
7.むずかしい
肝硬変で腹部が大きく張りつめている患者に腹腔穿刺を行います。アルブミンを投与することがあるのはなぜですか?
- A大量の排液後の循環不全のリスクを減らすため
- B尿中カリウムを増やすため
- C肝臓がそれ以上胆汁を作らないようにするため
- D腹水中の感染を治療するため
8.むずかしい
Which type of drug is commonly used to treat neuropathic pain?
- AAntibiotics such as amoxicillin, given as a long course
- BSome anticonvulsants or antidepressants, such as gabapentin
- CAntihistamines such as cetirizine
- DProton pump inhibitors such as omeprazole
解答
- 1. B · 体重 1 kg あたり 1 時間に約 0.5 mL
- 2. D · Painful inflammation and ulceration of the lining of the mouth
- 3. B · 発汗、ふるえ、混乱
- 4. A · The infusion site, the rate and volume remaining, and the patient's symptoms
- 5. B · Just before or with a meal
- 6. A · Patients can be seriously injured climbing over or becoming trapped in rails
- 7. A · 大量の排液後の循環不全のリスクを減らすため
- 8. B · Some anticonvulsants or antidepressants, such as gabapentin
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