1.やさしい
医療における感染拡大の防止に最も重要な単一の対策はどれですか?
- Aすべての患者に抗菌薬を処方すること
- B窓を閉めておくこと
- C常時マスクを着用すること
- D手指衛生
2.やさしい
指示書に末尾のゼロ(例:「5.0 mg」)を書いてはいけないのはなぜですか?
- A小数点を見落とすと50 mgになるから
- Bラベルの薬剤名が変わることがあるから
- C静脈内投与の薬にのみ認められるから
- D読み間違えると用量が10分の1になるから
3.やさしい
What is a chemical restraint?
- AA drug given to relieve pain after surgery
- BA drug used to prevent infection in a patient who has a restraint applied
- CA drug used to control behavior that is not standard treatment for the condition
- DA cream applied to the wrists under a restraint
4.ふつう
A patient has orthostatic hypotension. Which teaching helps to prevent falls?
- AAvoid drinking fluids in the morning to reduce trips to the toilet
- BStand up straight after a hot shower to increase blood flow
- CSit on the edge of the bed for a short time before standing up slowly
- DGet out of bed quickly so the dizziness passes sooner
5.ふつう
Which PPE does a nurse wear when giving an IV chemotherapy drug?
- AOne pair of standard latex gloves, changed after the infusion is started
- BA surgical mask and no gloves
- CTwo pairs of chemotherapy-tested gloves and a disposable impermeable gown
- DA reusable cloth gown and one pair of gloves
6.ふつう
Where is a gait belt placed when helping a patient to walk?
- AAround the patient’s waist, over clothing
- BAround both thighs, just above the knees
- CAround the chest, under the arms
- DAround the hips, directly on bare skin
7.むずかしい
A nurse finds a patient lying on the floor next to the bed. What should the nurse do first?
- ATelephone the family to tell them about the fall
- BComplete an incident report while the details are fresh
- CLift the patient back into bed with a colleague
- DAssess the patient for injury before moving them
8.むずかしい
看護師が10 000単位/mLのヘパリンのバイアルを手に取りました。この病棟では通常1000単位/mLのバイアルを備えています。特に注意が必要なのはなぜですか?
- Aどちらの規格のバイアルも自由に取り替えてよいから
- B吸い上げる量が少なくてすむため、濃いバイアルのほうが安全だから
- C濃度の高いバイアルを間違えて使うと、10倍の過量投与になるから
- Dヘパリンの濃度は安全性に影響しないから
解答
- 1. D · 手指衛生
- 2. A · 小数点を見落とすと50 mgになるから
- 3. C · A drug used to control behavior that is not standard treatment for the condition
- 4. C · Sit on the edge of the bed for a short time before standing up slowly
- 5. C · Two pairs of chemotherapy-tested gloves and a disposable impermeable gown
- 6. A · Around the patient’s waist, over clothing
- 7. D · Assess the patient for injury before moving them
- 8. C · 濃度の高いバイアルを間違えて使うと、10倍の過量投与になるから
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