1.やさしい
What is the first aid for a dry chemical powder on the skin?
- AAdd vinegar to neutralise it at once
- BCover it with a tight dressing and wait
- CRub it in with a wet cloth to spread it thinly over the skin
- DBrush off the powder, then irrigate with plenty of water
2.やさしい
Why are pressure areas padded when a patient is positioned for surgery?
- ATo keep the patient from moving during the operation
- BTo prevent pressure injury and nerve damage
- CTo warm the patient during the procedure
- DTo make the operating table look tidy
3.やさしい
オストミーのパウチは、通常いつ空にしますか?
- A漏れ始めたときだけ
- B上まで完全にいっぱいになったときだけ
- C毎日同じ時刻に1回
- D3分の1から半分たまったとき
4.ふつう
Which advice helps a person with diabetes prevent foot ulcers?
- AWear tight shoes to support the ankles
- BSoak the feet in very hot water every evening
- CCut corns off at home with a sharp blade
- DCheck the feet every day and never walk barefoot
5.ふつう
Which group of findings suggests obstruction of the bile duct?
- ANormal skin colour with diarrhoea and fever
- BPale urine, dark stools and a flapping tremor
- CRed urine, black stools and a high blood glucose
- DJaundice, dark urine, pale stools and itching
6.ふつう
大手術の後の最初の数日間、「必要時」の投与より定期的(スケジュール化)な鎮痛が好まれることが多いのはなぜですか?
- A日中に患者の痛みをアセスメントする必要がなくなるから
- B1日の最大限度を超える用量を投与できるから
- Cオピオイドの副作用が完全に防げるから
- D薬の濃度が安定し、激しい痛みのピークを防げるから
7.むずかしい
A patient with a toe ulcer says the leg pain is worse at night and eases when they hang the leg over the side of the bed. What does this suggest?
- AVenous insufficiency
- BArterial insufficiency
- CLymphoedema
- DNeuropathic itching
8.むずかしい
At the end of an operation, the final count shows one swab missing. What should happen?
- AClose the wound, as the swab was probably thrown away
- BRecord the count as correct to avoid a delay
- CLet the patient leave and search the theatre later
- DTell the surgeon, search, and X-ray if it is not found
解答
- 1. D · Brush off the powder, then irrigate with plenty of water
- 2. B · To prevent pressure injury and nerve damage
- 3. D · 3分の1から半分たまったとき
- 4. D · Check the feet every day and never walk barefoot
- 5. D · Jaundice, dark urine, pale stools and itching
- 6. D · 薬の濃度が安定し、激しい痛みのピークを防げるから
- 7. B · Arterial insufficiency
- 8. D · Tell the surgeon, search, and X-ray if it is not found
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