1.やさしい
患者自己調節鎮痛法(PCA)ポンプのボタンを押すべきなのは誰ですか?
- A各勤務の開始時の看護師
- B患者が眠っている間の親族
- C患者が頼んだ面会者なら誰でも
- D患者本人のみ
2.やさしい
手術のインフォームド・コンセントを得る責任があるのは誰ですか?
- A処置を行う臨床医、または訓練を受けた代理人
- B患者の入院を手配する病棟事務員
- C患者の近親者、またはその場にいる最も近い親族
- Dその時に手の空いているスタッフなら誰でも
3.やさしい
Which measure helps prevent burn scar contractures?
- AKeeping the joint bent in the most comfortable position
- BAvoiding all movement until the wound has healed
- CPositioning, splinting and regular stretching exercises
- DApplying ice packs to the scar every day
4.ふつう
A patient on enteral feeding develops diarrhoea. What should the nurse review first?
- AThe colour of the feeding bag label
- BThe medicine chart, including laxatives and antibiotics
- CThe patient's mobility aids and walking distance
- DThe patient's eye drops and skin creams
5.ふつう
Why is the time a surgical limb tourniquet is inflated carefully recorded?
- AThe surgeon is paid per minute of use
- BLong inflation can cause nerve and muscle damage
- CIt shows how long the anaesthetic gas was used
- DThe tourniquet slowly loses all its air after one minute
6.ふつう
Which group of findings suggests obstruction of the bile duct?
- ARed urine, black stools and a high blood glucose
- BJaundice, dark urine, pale stools and itching
- CNormal skin colour with diarrhoea and fever
- DPale urine, dark stools and a flapping tremor
7.むずかしい
On the ward after surgery, a patient has a red, blistered area of skin under where the diathermy plate was. What should the nurse do?
- AWash it with alcohol and leave it uncovered
- BTreat it as a possible burn, report it and complete an incident form
- CApply a hot water bottle to improve the circulation
- DIgnore it because skin changes after surgery are normal and expected to fade
8.むずかしい
A patient is splashed in the eye with an alkaline cleaning product. What is the first action?
- AAsk the patient to rub the eye to clear it
- BCover the eye with a pad and wait for a doctor to examine it first
- CAdd a few drops of vinegar to neutralise it
- DIrrigate the eye at once with large volumes of water or saline
解答
- 1. D · 患者本人のみ
- 2. A · 処置を行う臨床医、または訓練を受けた代理人
- 3. C · Positioning, splinting and regular stretching exercises
- 4. B · The medicine chart, including laxatives and antibiotics
- 5. B · Long inflation can cause nerve and muscle damage
- 6. B · Jaundice, dark urine, pale stools and itching
- 7. B · Treat it as a possible burn, report it and complete an incident form
- 8. D · Irrigate the eye at once with large volumes of water or saline
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