1.やさしい
What is pulmonary aspiration?
- ARemoving fluid from the chest with a needle through the ribs
- BBreathing too fast after surgery
- CA collapsed lung after a chest drain
- DInhaling stomach contents or other material into the lungs
2.やさしい
Which bedside test is commonly used to check that a nasogastric tube is in the stomach before each use?
- ATesting aspirate with pH paper
- BPutting the tube end in a cup of water
- CAsking the patient whether it feels comfortable
- DListening for a "whoosh" of injected air
3.やさしい
What is the main purpose of a surgical wound drain?
- ATo measure the patient's temperature
- BTo remove fluid or blood that collects at the operation site
- CTo give IV fluids and antibiotics straight into the wound bed
- DTo feed the patient after surgery
4.ふつう
Which finding means a patient is usually ready to leave recovery for the ward?
- ASystolic BP falling steadily over the last hour, with a rising pulse rate
- BStill drowsy and needing a jaw thrust to breathe
- CAwake, with a clear airway, stable observations and controlled pain
- DPain score 9/10 and vomiting repeatedly
5.ふつう
Which advice helps prevent dumping syndrome after gastrectomy?
- ASmall, frequent meals low in simple sugars, with fluids between meals
- BThree large meals a day with plenty of sweet drinks with each meal
- CA high-sugar diet with fruit juice to keep energy levels up
- DSit upright and walk briskly straight after every meal
6.ふつう
After a spinal anaesthetic, which nursing check is particularly important?
- ABlood glucose every 15 minutes overnight
- BReturn of leg sensation and movement, and passing urine
- CPeak flow before and after each meal
- DPupil reaction every five minutes for the next full day
7.むずかしい
A patient with a sacral pressure ulcer keeps sliding down the bed when the head is raised high. Which advice best reduces shear?
- ASit the patient upright without any support for the feet
- BRaise the head of the bed to 90° and pull the patient up the bed by the arms
- CKeep the head of the bed at or below 30° if possible; use slide sheets
- DUse a dry sheet and drag the patient up the bed
8.むずかしい
熱傷の輸液蘇生中に、体重80 kgの成人の尿量が2時間にわたって15 mL/時です。これは何を示しますか?
- A水分過剰。静注輸液をすべて直ちに中止すべき
- B熱傷患者の正常な尿量
- C蘇生不足。通常は輸液の速度を上げる必要がある
- D閉塞したカテーテルで、単に抜去すればよい
解答
- 1. D · Inhaling stomach contents or other material into the lungs
- 2. A · Testing aspirate with pH paper
- 3. B · To remove fluid or blood that collects at the operation site
- 4. C · Awake, with a clear airway, stable observations and controlled pain
- 5. A · Small, frequent meals low in simple sugars, with fluids between meals
- 6. B · Return of leg sensation and movement, and passing urine
- 7. C · Keep the head of the bed at or below 30° if possible; use slide sheets
- 8. C · 蘇生不足。通常は輸液の速度を上げる必要がある
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