1.やさしい
What is the pulse pressure?
- AThe difference between the systolic and diastolic pressures
- BThe average arterial pressure over one whole cardiac cycle
- CThe pressure measured in the right atrium at rest
- DThe number of pulse beats counted in one minute
2.やさしい
Which sound is typical of a pleural friction rub?
- AFine bubbling sounds that clear with coughing
- BA harsh sound on breathing in from the throat
- CA high-pitched musical sound on expiration
- DA creaking, grating sound with each breath
3.やさしい
狭心症に対するニトログリセリンのスプレーまたは錠剤は、どのように投与しますか?
- Aコップ1杯の水とともに丸ごと飲み込む
- B患者を背筋を伸ばして立たせて、舌下に
- C患者を座らせて、舌下に
- D食後にかんで飲み込む
4.ふつう
患者の心房細動は48時間を超えて続いており、待機的カルディオバージョンの予定です。事前に抗凝固療法が必要なのはなぜですか?
- A抗凝固薬が心房細動を洞調律に戻すから
- B抗凝固薬が電気ショックの痛みを和らげるから
- C洞調律に戻るときに、心房内の血栓が飛ぶことがあるから
- D抗凝固薬が電気ショックに必要なエネルギーを減らすから
5.ふつう
After coronary artery bypass surgery through a median sternotomy, which instruction is usually given for the first several weeks?
- ALift the arms above the head often to stretch the chest
- BAvoid walking until the stitches are removed
- CAvoid heavy lifting and pushing up with the arms
- DSleep only on the stomach to protect the wound
6.ふつう
COPDの人に通常推奨されるワクチンはどれですか?
- A5年ごとのBCGワクチン
- B毎年の破傷風の追加接種のみ
- C毎年のインフルエンザワクチンと肺炎球菌ワクチン
- Dワクチンは増悪を誘発することが知られているので、一切接種しない
7.むずかしい
Hours after surgery to restore blood flow to an ischaemic leg, the patient has severe calf pain that is worse when the toes are moved passively, and the calf feels tense. What should the nurse suspect?
- AExpected postoperative pain from the leg wound
- BCompartment syndrome from reperfusion swelling
- CCramp from lying still in bed
- DA superficial thrombophlebitis of the long saphenous vein
8.むずかしい
A nurse reviews inhaler use with a patient who has asthma and uses a separate steroid preventer inhaler and a salbutamol reliever. Which statement shows a need for further teaching?
- A"I use my steroid inhaler every day, even when I feel well."
- B"I use my steroid inhaler when I start to wheeze."
- C"I rinse my mouth after the steroid inhaler."
- D"I carry my blue reliever inhaler with me."
解答
- 1. A · The difference between the systolic and diastolic pressures
- 2. D · A creaking, grating sound with each breath
- 3. C · 患者を座らせて、舌下に
- 4. C · 洞調律に戻るときに、心房内の血栓が飛ぶことがあるから
- 5. C · Avoid heavy lifting and pushing up with the arms
- 6. C · 毎年のインフルエンザワクチンと肺炎球菌ワクチン
- 7. B · Compartment syndrome from reperfusion swelling
- 8. B · "I use my steroid inhaler when I start to wheeze."
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