1.やさしい
Where is a buccal medicine placed?
- AOn the back of the tongue
- BInside the nostril
- CUnder the tongue, where it dissolves
- DBetween the cheek and the gum
2.やさしい
Which IV fluid is isotonic?
- A0.45% sodium chloride
- B0.9% sodium chloride
- CSterile water
- D3% sodium chloride
3.やさしい
How are controlled drugs such as morphine stored on a ward?
- AOn an open shelf in the treatment room
- BIn a locked controlled-drug cupboard with a register of stock
- CIn the staff room fridge
- DIn the patient's bedside locker, so they can take them when needed
4.ふつう
While being helped to eat, a patient with dysphagia coughs and their voice sounds wet and gurgly. What should the nurse do?
- AStop feeding and report for a swallowing assessment
- BGive a drink of water to wash the food down
- CLie the patient flat to rest
- DFeed more quickly so the meal is finished before they tire
5.ふつう
入院患者の深部静脈血栓症の予防に役立つ対策はどれですか?
- A座っているときに脚を組む
- B水分を制限する
- C早期離床と下肢の運動
- Dできるだけ長く患者をベッドにとどめる
6.ふつう
Which measure is appropriate for a patient with a fever who feels hot and uncomfortable?
- ARestricting fluids so the patient sweats less during the fever
- BAn ice bath until the patient shivers
- CExtra blankets to make the patient sweat it out
- DLight bedclothes, plenty of fluids and a prescribed antipyretic
7.むずかしい
A patient with type 1 diabetes is vomiting and not eating. Which advice is correct?
- AHalve every dose and stop testing the glucose
- BKeep taking basal insulin and check glucose and ketones more often
- CStop all insulin until eating normally again
- DDrink only sugar-free fluids and stop testing for ketones until better
8.むずかしい
手術から 2 日後の高齢の患者が、夜に突然混乱して興奮しました。優先すべきことは?
- A患者をベッドに抑制する
- B感染、痛み、尿閉、便秘、薬などの根本的な原因を探して治療する
- C鎮静薬を与えて朝に再確認する
- D新たな認知症とみなし、介護施設への移動を計画する
解答
- 1. D · Between the cheek and the gum
- 2. B · 0.9% sodium chloride
- 3. B · In a locked controlled-drug cupboard with a register of stock
- 4. A · Stop feeding and report for a swallowing assessment
- 5. C · 早期離床と下肢の運動
- 6. D · Light bedclothes, plenty of fluids and a prescribed antipyretic
- 7. B · Keep taking basal insulin and check glucose and ketones more often
- 8. B · 感染、痛み、尿閉、便秘、薬などの根本的な原因を探して治療する
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