1.やさしい
吸入ステロイドを使った後に、口をすすぐのはなぜですか?
- A口腔カンジダ症と声のかすれを減らすため
- B薬による振戦を予防するため
- C薬を肺へ流し込むため
- D薬をより速く作用させるため
2.やさしい
In a tension pneumothorax, which way does the trachea usually shift?
- AAway from the affected side
- BTowards the affected side
- CIt never moves in a pneumothorax
- DUpwards towards the chin
3.やさしい
胸腔ドレーンの水封室で「スイング」(呼吸性移動)とは何ですか?
- A呼吸に合わせて水面が上下に動くこと
- B患者が歩くときにドレナージユニットが揺れること
- C血栓がドレナージチューブに沿って動くこと
- D患者が呼吸するかどうかにかかわらず続く泡立ち
4.ふつう
A patient stops ramipril because of a troublesome dry cough. Which drug class is a common alternative?
- AAn angiotensin II receptor blocker such as losartan
- BA nitrate such as isosorbide mononitrate
- CA non-selective beta-blocker such as propranolol
- DA loop diuretic such as furosemide
5.ふつう
A patient with COPD uses an inhaled corticosteroid combination inhaler. Which risk should the nurse be aware of?
- AAn increased risk of high blood pressure crises
- BAn increased risk of pneumonia
- CA sharp drop in potassium after each dose
- DHearing loss after every dose
6.ふつう
A patient with COPD is prescribed long-term oxygen therapy. How many hours a day is it usually needed to improve survival?
- AOnly when walking outside
- BAbout one hour each morning
- CAt least 15 hours a day
- DOnly during meals
7.むずかしい
A nurse has four cardiac patients. Which one should be seen first?
- AA patient after a radial angiogram asking when they can eat
- BA patient with heart failure whose weight is 0.3 kg up on yesterday's morning weight
- CA patient with angina whose chest pain has not eased with rest and who is sweating
- DA patient with AF and a heart rate of 86/min who is due an apixaban dose this morning
8.むずかしい
A 70-year-old man has a small abdominal aortic aneurysm found on screening and is placed under surveillance. Which advice is most important?
- AAvoid all exercise and lifting for the rest of his life to protect the aorta
- BStop all blood pressure medicines to avoid low pressure
- CHave the aneurysm repaired immediately, whatever its size or growth rate
- DStop smoking, control BP and seek help at once for sudden back pain
解答
- 1. A · 口腔カンジダ症と声のかすれを減らすため
- 2. A · Away from the affected side
- 3. A · 呼吸に合わせて水面が上下に動くこと
- 4. A · An angiotensin II receptor blocker such as losartan
- 5. B · An increased risk of pneumonia
- 6. C · At least 15 hours a day
- 7. C · A patient with angina whose chest pain has not eased with rest and who is sweating
- 8. D · Stop smoking, control BP and seek help at once for sudden back pain
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