1.やさしい
Which feature is typical of ulcerative colitis?
- AInflammation limited to the oesophagus
- BPatchy inflammation anywhere from mouth to anus
- CInflammation of the full thickness of the small bowel
- DContinuous inflammation starting at the rectum
2.やさしい
Which sign is typical of hepatic encephalopathy?
- AA stiff neck with sensitivity to light
- BA drooping eyelid on one side
- CA fine rash over the chest and arms
- DA flapping tremor of the outstretched hands
3.やさしい
What does dysphagia mean?
- ADifficulty speaking clearly
- BDifficulty swallowing
- CIndigestion after fatty food
- DPainful passing of urine
4.ふつう
Why is IV albumin often given after a large-volume paracentesis?
- ATo prevent low blood pressure and kidney injury from fluid shifts
- BTo treat infection in the ascitic fluid
- CTo raise the blood glucose after the procedure
- DTo replace the clotting factors and platelets lost in the drained fluid
5.ふつう
多くの化学療法薬の後、体液に対する特別な予防策は、しばしばどのくらいの期間とられますか?
- A決して必要ない
- B一般に約48時間
- Cまる1年間
- D点滴中のみ
6.ふつう
A patient with a new colostomy asks what to eat at home. Which advice is most appropriate?
- ADrink as little fluid as possible to reduce output
- BEat only liquids until the stoma is removed
- CAvoid all fruit and vegetables for the rest of their life
- DEat a normal, balanced diet and introduce foods gradually
7.むずかしい
A patient's platelet count is 18 × 109/L (18,000/µL). Which order should the nurse question?
- AOral paracetamol for headache
- BDaily full blood count
- CA soft diet with mouthwashes
- DAn intramuscular injection
8.むずかしい
A nurse teaches a patient after a colonoscopy with polyp removal. Which statement shows a need for further teaching?
- A"I should report a fever or a swollen, painful abdomen."
- B"Some wind and bloating today is expected."
- C"Severe abdominal pain is normal for a week afterwards."
- D"I'll report heavy bleeding from my bottom."
解答
- 1. D · Continuous inflammation starting at the rectum
- 2. D · A flapping tremor of the outstretched hands
- 3. B · Difficulty swallowing
- 4. A · To prevent low blood pressure and kidney injury from fluid shifts
- 5. B · 一般に約48時間
- 6. D · Eat a normal, balanced diet and introduce foods gradually
- 7. D · An intramuscular injection
- 8. C · "Severe abdominal pain is normal for a week afterwards."
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