1.やさしい
季節性インフルエンザが確定した患者に用いる感染経路別予防策はどれですか?
- A飛沫予防策
- B手指衛生以外の予防策は不要
- C接触予防策のみ
- D空気予防策
2.やさしい
標準予防策に含まれる対応はどれですか?
- Aすべての患者との接触でN95マスクを着用する
- B血液や体液との接触が予想されるときに手袋を着用する
- C行う処置にかかわらず、すべての患者との接触でガウンとマスクを着用する
- Dすべての患者を陰圧室に入れる
3.やさしい
An adult’s white blood cell count is 18,000/mm3 (18 × 109/L). How is this best described?
- ANormal for an older adult
- BLow (leukopenia)
- CRaised (leukocytosis)
- DWithin the normal range
4.ふつう
Before inserting a peripheral IV, the nurse cleans the skin with chlorhexidine-alcohol. What should the nurse do next?
- AWipe it off with a dry gauze straight away
- BLet it dry fully and do not touch the site again
- CFeel for the vein again with an ungloved finger
- DBlow on the site so it dries faster
5.ふつう
A patient is receiving opioids for pain. Which sign usually comes before opioid-induced respiratory depression?
- AIncreasing sedation
- BDilated pupils
- CDiarrhea
- DRising blood pressure
6.ふつう
手首の抑制具は、どのくらいの強さで固定しますか?
- A患者の手が抜けるほどゆるく
- B手首の脈が遅くなるほどきつく
- C患者が腕を動かせないよう、できるだけきつく
- D抑制具と皮膚の間に指が2本入る程度のゆるさ
7.むずかしい
An 80-year-old patient took a sleeping tablet an hour ago and now wants to go to the bathroom. What should the nurse do?
- AWalk with the patient to the bathroom and stay close by
- BTell the patient to go alone and use the call light if needed
- CRaise all four side rails so the patient stays in bed
- DTell the patient to wait until the morning
8.むずかしい
A patient with fever and a spreading rash is suspected of having smallpox. Which precautions are needed?
- AContact precautions only
- BAirborne and contact precautions
- CStandard precautions only
- DDroplet precautions with a surgical mask
解答
- 1. A · 飛沫予防策
- 2. B · 血液や体液との接触が予想されるときに手袋を着用する
- 3. C · Raised (leukocytosis)
- 4. B · Let it dry fully and do not touch the site again
- 5. A · Increasing sedation
- 6. D · 抑制具と皮膚の間に指が2本入る程度のゆるさ
- 7. A · Walk with the patient to the bathroom and stay close by
- 8. B · Airborne and contact precautions
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