1.やさしい
Where should a diathermy return electrode (plate) be placed?
- AOn clean, dry skin over a well-perfused muscle
- BOn skin covered with spirit-based prep that is still wet
- COver a bony area such as the hip bone
- DOver a metal joint replacement
2.やさしい
What is a parastomal hernia?
- AA sore, red area of skin under the stoma bag from leaking output
- BA bulge of bowel through the abdominal wall next to a stoma
- CA narrowing of the stoma opening
- DA stoma that has sunk below the level of the skin
3.やさしい
好中球減少症とは何ですか?
- A赤血球数が少ないこと
- B血小板数が少ないこと
- C好中球数が少ないこと
- D白血球数が多いこと
4.ふつう
Aspirate from a nasogastric tube has a pH of 7. What should the nurse do?
- AGive the medicines but not the feed
- BStart the feed slowly and watch the patient closely for coughing
- CDo not use it; re-test later or arrange an X-ray as per policy
- DFlush with 50 mL of air and start the feed
5.ふつう
Which infection control measure is correct for a patient with C. difficile diarrhoea?
- AA single room with its own toilet, and soap-and-water handwashing
- BA shared bay, as long as alcohol gel is used after every contact
- CNo special measures once antibiotics have started
- DA face mask for the patient and visitors only
6.ふつう
How are skin staples usually removed from a healed incision?
- AAlternate staples first, then the rest if the wound holds
- BAll staples at once by pulling each one straight up from the skin
- CThe staples are left in permanently under the skin
- DOnly the staples at each end, leaving the others for good
7.むずかしい
A patient has a category (stage) 2 pressure ulcer on the sacrum. Which plan is most appropriate?
- AOffload the area, manage moisture, support nutrition and dress it
- BLeave it uncovered and dry it with a hair dryer
- CSit the patient upright in a chair for most of the day
- DMassage around the wound every hour to stimulate blood flow to the skin
8.むずかしい
Which medicine commonly needs enteral feeds paused before and after each dose because the feed reduces its absorption?
- AParacetamol
- BPhenytoin
- CLactulose
- DOmeprazole liquid
解答
- 1. A · On clean, dry skin over a well-perfused muscle
- 2. B · A bulge of bowel through the abdominal wall next to a stoma
- 3. C · 好中球数が少ないこと
- 4. C · Do not use it; re-test later or arrange an X-ray as per policy
- 5. A · A single room with its own toilet, and soap-and-water handwashing
- 6. A · Alternate staples first, then the rest if the wound holds
- 7. A · Offload the area, manage moisture, support nutrition and dress it
- 8. B · Phenytoin
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