1.やさしい
手術後にインセンティブスパイロメトリーを行う目的は何ですか?
- A深呼吸を促し、無気肺を予防すること
- Bネブライザーによる気管支拡張薬を投与すること
- C患者の酸素飽和度を測定すること
- D退院前に肺機能を検査すること
2.やさしい
What is an embolus?
- AA bulge in the weakened wall of an artery that may rupture
- BA clot that stays fixed in the vessel where it first formed
- CA narrowing of an artery caused by a build-up of fatty plaque
- DA clot or other mass that travels in the blood and lodges elsewhere
3.やさしい
What is the main function of the epiglottis?
- AIt covers the entrance to the larynx during swallowing
- BIt vibrates to produce the sound of the voice when speaking
- CIt warms and moistens the air on its way into the lungs
- DIt divides the trachea into two bronchi
4.ふつう
Why is intravenous furosemide given slowly rather than as a rapid push of a large dose?
- ASlow injection makes the urine output larger
- BRapid doses cause severe constipation
- CRapid doses cause the potassium level to rise
- DRapid high doses can damage hearing
5.ふつう
Which position is usually best for the legs of a patient with chronic venous insufficiency and ankle swelling?
- ARaised above the level of the heart when resting
- BCrossed at the knees while sitting
- CHanging down over the side of the bed
- DKept still in a standing position for long periods
6.ふつう
患者の血圧が200/125 mmHgで、新たな錯乱とかすみ目があります。通常、どのように降圧しますか?
- A脳が今は高い圧に依存しているので、まったく下げない
- B新しい経口錠剤で、1週間後に再評価する
- C滴定した静注薬で、最初の1時間に最大約25%まで
- Dできるだけ速く、数分で正常値まで
7.むずかしい
Two days after coronary artery bypass surgery, a patient feels palpitations. The pulse is irregularly irregular at 140/min and BP is 112/70 mmHg. Which rhythm is most likely?
- AAtrial fibrillation
- BComplete heart block
- CSinus tachycardia
- DVentricular fibrillation
8.むずかしい
Four hours after cardiac surgery, the mediastinal drain, which had been draining steadily, suddenly stops. BP falls to 84/60 mmHg, the heart rate rises and the CVP climbs. What should the nurse suspect?
- ANormal recovery, as the bleeding has stopped
- BA tension pneumothorax on the left side
- CCardiac tamponade from a clotted drain
- DFluid overload from intravenous fluids
解答
- 1. A · 深呼吸を促し、無気肺を予防すること
- 2. D · A clot or other mass that travels in the blood and lodges elsewhere
- 3. A · It covers the entrance to the larynx during swallowing
- 4. D · Rapid high doses can damage hearing
- 5. A · Raised above the level of the heart when resting
- 6. C · 滴定した静注薬で、最初の1時間に最大約25%まで
- 7. A · Atrial fibrillation
- 8. C · Cardiac tamponade from a clotted drain
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