1.やさしい
Which precautions are used for a patient with diphtheria of the throat (pharyngeal diphtheria)?
- AContact precautions only
- BDroplet precautions
- CAirborne precautions
- DStandard precautions only
2.やさしい
During a hospital fire evacuation, where are patients usually moved first?
- AStraight out of the building, whatever their condition
- BDownward, using the elevators
- CUpward, to the roof of the building where helicopters can reach them
- DHorizontally, through fire doors to a safe area on the same floor
3.やさしい
Why is a carbon monoxide detector recommended in the home?
- AThe detector also measures the air temperature and humidity in the home
- BCarbon monoxide is only dangerous outdoors
- CCarbon monoxide always smells like rotten eggs
- DCarbon monoxide has no color or smell, so people cannot detect it themselves
4.ふつう
When should the transparent dressing over a peripheral IV site be changed?
- AWhen it is damp, loose or visibly soiled
- BEvery hour, so the site can be cleaned again
- COnly when the patient asks for a new dressing
- DOnly when the IV catheter is removed, whatever its state
5.ふつう
A confused patient keeps pulling at an IV line. Which is a less restrictive option to consider before wrist restraints?
- ACovering the site with a sleeve or using hand mitts with supervision
- BUsing a vest restraint in the chair so that the patient’s hands stay down
- CGiving a sedative every few hours
- DTying both arms to the bed frame
6.ふつう
患者が手首の抑制を受けている間、最も重要なアセスメントはどれですか?
- A身長と体重
- B時計を使った両耳の聴力
- Cその日の飲食の好み
- D抑制具より末梢の循環、感覚、皮膚
7.むずかしい
手書きの指示に「10U regular insulin subcut now」とあります。看護師の最善の対応はどれですか?
- A看護助手に筆跡を解読してもらう
- B指示がそう読めるので、100単位を与える
- C疑問を持たず、書かれたとおり10単位を与える
- D「U」は読み間違えられるおそれがあるため、指示を確認する
8.むずかしい
A small-bore feeding tube has just been inserted blindly at the bedside. Which method is the most reliable way to confirm its position before the first feeding?
- ABy listening over the stomach while injecting air
- BBy putting the end in water to look for bubbles
- CBy an x-ray reviewed by a competent clinician
- DBy checking that the patient can still talk
解答
- 1. B · Droplet precautions
- 2. D · Horizontally, through fire doors to a safe area on the same floor
- 3. D · Carbon monoxide has no color or smell, so people cannot detect it themselves
- 4. A · When it is damp, loose or visibly soiled
- 5. A · Covering the site with a sleeve or using hand mitts with supervision
- 6. D · 抑制具より末梢の循環、感覚、皮膚
- 7. D · 「U」は読み間違えられるおそれがあるため、指示を確認する
- 8. C · By an x-ray reviewed by a competent clinician
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