1.やさしい
Before moving a patient, what should the nurse do with the bed height?
- ARaise it as high as it will go
- BLeave it wherever it was
- CLower it as far as it will go to protect the nurse's back
- DAdjust it to about the nurse's waist height
2.やさしい
What is extravasation?
- AA cannula that has slipped deeper into the vein
- BLeakage of an irritant (vesicant) drug into the tissue around the vein
- CLeakage of plain saline from the cannula into the tissue around the vein
- DBleeding from the site after the cannula is removed
3.やさしい
Which oxygen device is most often used to give a low flow of oxygen to a comfortable patient?
- ANasal cannula
- BBag-valve-mask
- CHigh-flow humidified system
- DNon-rebreather mask
4.ふつう
患者が横向きに寝るとき、仙骨部と腰への圧迫を減らすのに勧められる体位はどれですか?
- A何時間もベッドで上体を起こして座る
- B90 度で腰の上に直接寝る
- C枕で支えた 30 度側臥位
- Dあお向けで頭を急角度に上げる
5.ふつう
Why are patients with a new ileostomy at risk of dehydration?
- AThe stoma absorbs water from the body
- BThe colon removes too much water from the stool
- CThey are not allowed to drink for several weeks after surgery
- DThe output is liquid and contains a lot of water and salt
6.ふつう
A patient you are walking with starts to fall. What should you do?
- ALet go quickly and call for help
- BGrab them under the armpits and lift them
- CEase them gently to the floor while protecting their head
- DTry to hold them upright with your arms around their chest
7.むずかしい
An older patient's leg wound has become more painful and has a new unpleasant smell, but there is no fever. What does this suggest?
- AAn allergy to the dressing that needs no action
- BA possible wound infection that needs assessment and reporting
- CNormal healing, because there is no fever and the wound is still closed
- DThe wound has dried out and needs to be left open
8.むずかしい
A patient going home on warfarin has been taught about the drug. Which statement shows a need for further teaching?
- A"I'll keep my appointments for blood tests."
- B"I'll try to keep the amount of green vegetables I eat steady."
- C"I'll stop eating all green vegetables from now on."
- D"I'll report any blood in my urine or black stools."
解答
- 1. D · Adjust it to about the nurse's waist height
- 2. B · Leakage of an irritant (vesicant) drug into the tissue around the vein
- 3. A · Nasal cannula
- 4. C · 枕で支えた 30 度側臥位
- 5. D · The output is liquid and contains a lot of water and salt
- 6. C · Ease them gently to the floor while protecting their head
- 7. B · A possible wound infection that needs assessment and reporting
- 8. C · "I'll stop eating all green vegetables from now on."
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