1.やさしい
If hair must be removed before surgery, which method is recommended?
- AA wax strip several days before surgery
- BElectric clippers on the day of surgery
- CPulling the hairs out with tweezers
- DA razor shave the night before surgery
2.やさしい
What is Barrett's oesophagus?
- AA tear in the oesophagus caused by forceful vomiting
- BDilated veins in the lower oesophagus caused by portal hypertension
- CA change of the lower oesophageal lining to a stomach-like type
- DA pouch in the upper oesophagus that traps food
3.やさしい
健康なストーマは、どのように見えますか?
- A紫色または暗色で乾いている
- B乾いていて黒色
- C蒼白で冷たい
- D湿っていて、赤色またはピンク色
4.ふつう
After a percutaneous liver biopsy, how is the patient usually positioned at first?
- AProne, with the head lower than the feet
- BOn the left side, to drain the liver
- CSitting upright, with the legs over the edge of the bed
- DOn the right side, to press on the puncture site
5.ふつう
組織内への出血を伴う重症急性膵炎を示唆する徴候はどれですか?
- A臍周囲または側腹部の皮下出血斑
- B手のひらと足の裏の紫色の発疹
- C爪の黄色い変色
- D唇、舌、顔の腫れ
6.ふつう
Which nerve is at risk if the arm is poorly padded at the elbow during surgery?
- AFacial nerve
- BFemoral nerve
- CSciatic nerve
- DUlnar nerve
7.むずかしい
On day 3 after surgery, a patient has a temperature of 38.6 °C, respiratory rate 24/min, pulse 118/min, BP 92/58 mmHg and new confusion. What should the nurse do?
- AGive paracetamol and recheck in four hours
- BRecord the observations and continue routine care
- CEscalate urgently and start the sepsis pathway
- DEncourage oral fluids and wait for the doctor's round
8.むずかしい
A patient taking oral capecitabine reports red, painful, peeling palms and soles. What should the nurse do?
- AReport it; this is hand-foot syndrome and treatment may need changing
- BReassure that it is a sign of an unrelated allergy to washing powder
- CTell the patient to take a double dose next time
- DAdvise hot soaks for the hands and feet
解答
- 1. B · Electric clippers on the day of surgery
- 2. C · A change of the lower oesophageal lining to a stomach-like type
- 3. D · 湿っていて、赤色またはピンク色
- 4. D · On the right side, to press on the puncture site
- 5. A · 臍周囲または側腹部の皮下出血斑
- 6. D · Ulnar nerve
- 7. C · Escalate urgently and start the sepsis pathway
- 8. A · Report it; this is hand-foot syndrome and treatment may need changing
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