1.やさしい
Where in the kidney does furosemide mainly act?
- AThe glomerulus
- BThe renal artery
- CThe collecting duct only
- DThe loop of Henle
2.やさしい
虚血性脳卒中のリスクを最も高める不整脈はどれですか?
- A運動選手にみられる洞性徐脈
- B運動中の洞性頻脈
- C心房細動
- D洞性不整脈
3.やさしい
When do the coronary arteries of the left ventricle mainly fill with blood?
- AOnly during inspiration
- BDuring diastole
- CDuring systole
- DOnly during exercise
4.ふつう
A patient with angle-closure glaucoma needs nebulised ipratropium. What precaution is sensible?
- AUse a mouthpiece or protect the eyes from the mist
- BGive it only with the patient lying completely flat
- CMix it with an eye drop before putting it in the nebuliser
- DRun it at the highest possible gas flow
5.ふつう
How should a patient breathe in when using a dry powder inhaler?
- ASlowly and gently over about ten seconds
- BThrough the nose with the mouthpiece in the mouth
- CQuickly and deeply, after breathing out away from the device
- DSeveral times, breathing out into the device between breaths
6.ふつう
What is the purpose of a mucolytic such as carbocisteine in chronic productive cough?
- ATo kill bacteria in the airways
- BTo stop the patient coughing completely, day and night
- CTo make sputum thinner and easier to cough up
- DTo widen the airways within minutes
7.むずかしい
A patient with pneumonia has a heart rate of 118/min, BP 86/50 mmHg, RR 28/min and a high lactate. Sepsis is recognised. Which action should not be delayed?
- AWait for the sputum culture result before choosing an antibiotic
- BTake blood cultures and give IV antibiotics within the first hour
- CDelay fluids until a chest X-ray has been reported
- DGive oral antibiotics and reassess the next day
8.むずかしい
A patient receiving noradrenaline (norepinephrine) through a peripheral cannula has pale, cold skin around the site. What should the nurse do?
- AIncrease the rate so the drug enters the vein faster and leaks less
- BStop it at that site, inform the team and follow the extravasation policy
- CContinue the infusion, as this is expected
- DMassage the area firmly to spread the drug out into the surrounding tissue
解答
- 1. D · The loop of Henle
- 2. C · 心房細動
- 3. B · During diastole
- 4. A · Use a mouthpiece or protect the eyes from the mist
- 5. C · Quickly and deeply, after breathing out away from the device
- 6. C · To make sputum thinner and easier to cough up
- 7. B · Take blood cultures and give IV antibiotics within the first hour
- 8. B · Stop it at that site, inform the team and follow the extravasation policy
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