1.やさしい
What is evidence-based practice?
- ACombining research, clinical expertise and the patient's preferences
- BUsing only the information on the drug packet
- CDoing things the way they have always been done on the ward
- DFollowing whatever the most senior nurse on the ward prefers to do
2.やさしい
On which side should a patient with a weak leg hold a walking stick?
- AEither side, it makes no difference
- BThe stronger side
- CThe weaker side
- DIn front of the body with both hands
3.やさしい
In a patient lying on their back, which two areas most often develop pressure ulcers?
- AThe shoulders and the chest
- BThe elbows and the ears
- CThe sacrum and the heels
- DThe knees and the shins
4.ふつう
A bedbound patient who has not opened their bowels for a week now has liquid stool leaking constantly. What should the nurse suspect?
- AAn infection that needs antidiarrhoeal drugs at once
- BA side effect of drinking too much water
- CFaecal impaction with overflow
- DNormal bowel function returning
5.ふつう
A patient refuses their regular evening tablets. What should the nurse do first?
- AThrow the tablets away without telling anyone
- BExplore the reason for refusing
- CInsist until the patient takes them
- DHide the tablets in their food
6.ふつう
Which of these is recorded as fluid intake on a fluid balance chart?
- AUrine output from a catheter
- BWound drainage
- CVomit
- DIntravenous fluids
7.むずかしい
A collapsed patient is unresponsive and making only occasional slow gasps. What should the nurse do?
- AGive a sip of water to clear the throat
- BPlace the patient in the recovery position and keep observing them
- CTreat it as not breathing normally, call for help and start CPR
- DWait to see whether the gasps become regular
8.むずかしい
A patient with new swallowing difficulty is prescribed a modified-release tablet. What should the nurse do?
- AOmit the medicine without telling anyone
- BContact the prescriber or pharmacist for a suitable alternative
- CCrush the tablet and mix it with yoghurt
- DCut the tablet into quarters and give the pieces one at a time with water
解答
- 1. A · Combining research, clinical expertise and the patient's preferences
- 2. B · The stronger side
- 3. C · The sacrum and the heels
- 4. C · Faecal impaction with overflow
- 5. B · Explore the reason for refusing
- 6. D · Intravenous fluids
- 7. C · Treat it as not breathing normally, call for help and start CPR
- 8. B · Contact the prescriber or pharmacist for a suitable alternative
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