1.やさしい
培養のために創のスワブを採取する直前には、何をすべきですか?
- A乾いたドレッシング自体からスワブを採る
- B古いドレッシングをあと丸1日つけたままにする
- C消毒薬を塗って完全に乾かす
- D生理食塩水で洗浄して、表面の汚れを取り除く
2.やさしい
What is a Hartmann's procedure?
- AJoining the stomach directly to the small bowel
- BRemoval of the gallbladder through several small abdominal incisions
- CRemoval of part of the colon with an end colostomy and rectal stump
- DPlacing a stent in the bile duct
3.やさしい
What is cancer cachexia?
- AA skin rash from radiotherapy
- BSevere loss of weight and muscle that diet alone does not reverse
- CA fever that occurs after every chemotherapy cycle and lasts several days
- DWeight gain caused by steroid treatment
4.ふつう
Why might a patient's platelet count be monitored while they receive heparin?
- ATo measure the heparin dose in the blood exactly
- BTo check whether the heparin is causing anaemia
- CTo see whether the patient has an infection
- DTo detect heparin-induced thrombocytopenia
5.ふつう
出血している消化性潰瘍の内視鏡治療の後、酸を減らすために一般に用いる薬剤クラスはどれですか?
- AセチリジンなどのH1抗ヒスタミン薬
- Bループ利尿薬
- Cβ遮断薬
- Dプロトンポンプ阻害薬
6.ふつう
A nasogastric feeding tube appears blocked. What is usually the first step?
- AFlush gently with warm water in a 50 mL enteral syringe
- BCut the end of the tube to release the blockage inside it
- CPush the guidewire back in to clear it
- DUse a small 5 mL syringe with firm pressure
7.むずかしい
A patient with small cell lung cancer is confused and drowsy. Sodium is 118 mmol/L and the urine is highly concentrated. Which complication is likely?
- ATumour lysis syndrome
- BHypercalcaemia of malignancy
- CDiabetes insipidus
- DSIADH
8.むずかしい
Which history should most alert the nurse to a possible latex allergy before surgery?
- AA rash after taking amoxicillin as a child, with a family history of asthma
- BItching with bananas, avocado and kiwi, and many operations
- CFeeling sick after eating shellfish once
- DHay fever every spring since childhood
解答
- 1. D · 生理食塩水で洗浄して、表面の汚れを取り除く
- 2. C · Removal of part of the colon with an end colostomy and rectal stump
- 3. B · Severe loss of weight and muscle that diet alone does not reverse
- 4. D · To detect heparin-induced thrombocytopenia
- 5. D · プロトンポンプ阻害薬
- 6. A · Flush gently with warm water in a 50 mL enteral syringe
- 7. D · SIADH
- 8. B · Itching with bananas, avocado and kiwi, and many operations
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