1.やさしい
バンコマイシンのトラフ値は、いつ採血しますか?
- A点滴が終わった直後
- B次回投与の直前、通常は 30 分以内
- C点滴開始の 2 時間後
- D投与の時刻に関係なく、都合のよい時間帯のいつでも
2.やさしい
低カリウム血症に典型的な心電図の変化はどれですか?
- A隣接する 2 つ以上の誘導での ST 上昇
- B尖って高い T 波と幅広い QRS
- Cデルタ波と短い PR 間隔
- D平坦な T 波と目立つ U 波
3.やさしい
Which fasting plasma glucose meets the usual diagnostic threshold for diabetes when confirmed on a second test?
- A200 mg/dL (11.1 mmol/L) or higher
- B126 mg/dL (7.0 mmol/L) or higher
- C100 mg/dL (5.6 mmol/L) or higher
- D110 mg/dL (6.1 mmol/L) or higher
4.ふつう
A patient on a heparin infusion has blood in the urine and an aPTT far above the target. The nurse stops the infusion and informs the provider. Which antidote should the nurse anticipate?
- ACalcium gluconate
- BNaloxone
- CVitamin K (phytonadione)
- DProtamine sulfate
5.ふつう
2 日間嘔吐が続いている患者の BUN が 32 mg/dL(尿素 11.4 mmol/L)で、クレアチニンは正常です。最も考えられる原因はどれですか?
- A水分過剰
- B肝不全
- C低蛋白食
- D脱水
6.ふつう
When should the nurse check the glucose before giving a mealtime dose of rapid-acting insulin (such as lispro)?
- AOnly once a day, then giving the same dose before every meal
- BJust before the meal, giving insulin when the food is ready
- CTwo hours after the meal, then giving the insulin dose
- DAt bedtime only, then giving the mealtime insulin overnight
7.むずかしい
A patient on IV gentamicin has a trough level above the target, and the creatinine has risen since yesterday. The next dose is due. What is the best action?
- AGive the dose with extra oral fluids to protect the kidneys
- BHold the dose and report the results to the prescriber
- CGive half of the dose and document the reason for it
- DGive the dose now and recheck the levels next week
8.むずかしい
An 82-year-old woman without a catheter has a urine culture growing bacteria, but no fever, urinary symptoms or change in mental state. What is the best interpretation?
- AContamination, so the culture must be repeated every week
- BA urinary tract infection that needs urgent IV antibiotics
- CPyelonephritis, which needs admission and IV fluids today
- DAsymptomatic bacteriuria, usually not treated with antibiotics
解答
- 1. B · 次回投与の直前、通常は 30 分以内
- 2. D · 平坦な T 波と目立つ U 波
- 3. B · 126 mg/dL (7.0 mmol/L) or higher
- 4. D · Protamine sulfate
- 5. D · 脱水
- 6. B · Just before the meal, giving insulin when the food is ready
- 7. B · Hold the dose and report the results to the prescriber
- 8. D · Asymptomatic bacteriuria, usually not treated with antibiotics
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