1.やさしい
Which precautions are used for an infant in diapers who has rotavirus diarrhea?
- AA protective environment
- BContact precautions
- CAirborne precautions
- DDroplet precautions
2.やさしい
Which practice makes the use of an ice pack safer?
- APut the ice pack directly on bare skin for several hours
- BUse it only on areas where the patient has no feeling, so it is not uncomfortable
- CPlace a cloth between the pack and the skin and limit the time it is applied
- DKeep the ice pack on the skin while the patient sleeps overnight
3.やさしい
Which precautions are used for a patient with diphtheria of the throat (pharyngeal diphtheria)?
- AStandard precautions only
- BDroplet precautions
- CAirborne precautions
- DContact precautions only
4.ふつう
Why are some patients screened with a nasal swab for MRSA on admission?
- ATo measure the patient’s immunity to MRSA
- BTo check whether the patient is allergic to penicillin before surgery
- CTo diagnose a sinus infection
- DTo find carriers so precautions or decolonization can be used
5.ふつう
During a surgical hand scrub, how are the hands held?
- AAbove the elbows, so water runs from the fingertips toward the elbows
- BBelow the elbows, so water runs off the fingertips into the sink
- CPointing downward into the sink at all times
- DAt the level of the waist, close to the body
6.ふつう
A patient has a very low platelet count. Which safety measure is appropriate?
- AUse a firm toothbrush and a safety razor
- BUse a soft toothbrush and an electric razor
- CTake rectal temperatures for accuracy
- DFloss hard each day to keep the gums healthy
7.むずかしい
Several patients on a ward develop vomiting and diarrhea within two days, and a norovirus outbreak is suspected. What should the nurse do first?
- AWait for all the stool results to come back before taking any action
- BAsk visitors to bring in bottled water for all patients
- CNotify the infection prevention team and place affected patients on contact precautions
- DMove the affected patients to different wards so that fewer people are exposed
8.むずかしい
The laboratory reports that a blood sample labeled with one patient’s name has a blood group different from that patient’s previous result. What is the most likely problem and response?
- AA laboratory machine fault, so no action is needed
- BA normal change in the patient’s blood group over the years since the last test
- CThe previous result was wrong, so it is deleted
- DA wrong-patient sample, so the test is repeated and the event reported
解答
- 1. B · Contact precautions
- 2. C · Place a cloth between the pack and the skin and limit the time it is applied
- 3. B · Droplet precautions
- 4. D · To find carriers so precautions or decolonization can be used
- 5. A · Above the elbows, so water runs from the fingertips toward the elbows
- 6. B · Use a soft toothbrush and an electric razor
- 7. C · Notify the infection prevention team and place affected patients on contact precautions
- 8. D · A wrong-patient sample, so the test is repeated and the event reported
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