1.やさしい
What is sepsis?
- AA mild local infection that stays in one place, such as a small boil
- BAn allergic reaction to an antibiotic that causes a rash and fever
- CA viral infection of the upper airways
- DOrgan dysfunction caused by a harmful response to infection
2.やさしい
In UK hospital dress-code policy, what does "bare below the elbows" mean for clinical staff?
- AWearing a gown with tight cuffs over the wrists
- BShort sleeves and no wristwatch or stoned rings during care
- CWearing long gloves that reach up to the elbows for all care
- DKeeping the arms covered at all times
3.やさしい
成人の筋肉注射でよく使われる部位はどれですか?
- A前腕の皮膚
- B上腕の三角筋
- C手の甲
- Dへその周りの腹部
4.ふつう
How should a rectal suppository be inserted?
- APast the internal sphincter, against the rectal wall
- BAfter the patient has stood up and bent forward
- CJust inside the anus, without passing the sphincter
- DInto the middle of the stool in the rectum so it softens it
5.ふつう
How can nurses help patients sleep better on a hospital ward at night?
- ADo routine tasks such as bed changes at midnight while it is quiet
- BGive every patient a sleeping tablet
- CGroup care and observations so patients are disturbed less often
- DKeep the main lights on so staff can see clearly
6.ふつう
A patient can wash their face and arms but cannot reach their back and feet. What is the best approach?
- ALeave the back and feet unwashed
- BWash the patient completely yourself to save time and effort
- CAsk the patient to wait until a relative visits
- DLet the patient do what they can and help with the rest
7.むずかしい
A patient with delirium tries to leave the ward at night, saying they are going home, and would be at serious risk outside. What is correct (England and Wales)?
- AAssess capacity and, if it is lacking, act in their best interests
- BLet them leave, as all adults are free to go wherever they like
- CLock them in a side room until the morning for their own safety
- DGive a sedative without asking anyone
8.むずかしい
A stable patient is woken every hour for observations and is becoming tired and confused. What is the best nursing action?
- AKeep the same plan, as observations matter more than sleep for patients
- BStop all observations so the patient can sleep
- CAsk the doctor for a sedative to help the patient sleep
- DAsk the team whether the observations can safely be done less often
解答
- 1. D · Organ dysfunction caused by a harmful response to infection
- 2. B · Short sleeves and no wristwatch or stoned rings during care
- 3. B · 上腕の三角筋
- 4. A · Past the internal sphincter, against the rectal wall
- 5. C · Group care and observations so patients are disturbed less often
- 6. D · Let the patient do what they can and help with the rest
- 7. A · Assess capacity and, if it is lacking, act in their best interests
- 8. D · Ask the team whether the observations can safely be done less often
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