1.やさしい
What does a healthy stoma usually look like?
- ADark purple or black
- BDry and covered in a crust
- CMoist and pink to red
- DDry and pale white
2.やさしい
Which complication of long bed rest causes the foot to point downwards and stiffen in that position?
- AFlat foot
- BHammer toe
- CClub foot
- DFoot drop
3.やさしい
What is extravasation?
- ALeakage of an irritant (vesicant) drug into the tissue around the vein
- BA cannula that has slipped deeper into the vein
- CBleeding from the site after the cannula is removed
- DLeakage of plain saline from the cannula into the tissue around the vein
4.ふつう
Why is hand hygiene still needed after removing gloves?
- AHand hygiene is only needed if the gloves were sterile
- BGlove powder causes skin allergies and must always be washed off the hands
- CIt is not needed, as the gloves protected the hands
- DGloves can have tiny holes and hands can be contaminated during removal
5.ふつう
A patient is getting up for the first time after several days in bed. What should the nurse do first?
- AGive the patient a large drink of water while standing
- BAsk the patient to walk to the bathroom alone
- CHelp the patient stand up quickly, so that the dizziness has less time to start
- DHave the patient sit on the edge of the bed for a short time before standing
6.ふつう
A patient can wash their face and arms but cannot reach their back and feet. What is the best approach?
- AAsk the patient to wait until a relative visits
- BLet the patient do what they can and help with the rest
- CLeave the back and feet unwashed
- DWash the patient completely yourself to save time and effort
7.むずかしい
A runner collapses on a hot day with a temperature of 40.5 °C and confusion. Why will paracetamol (acetaminophen) not help much?
- AThe heat comes from failed heat loss, not a raised set point
- BParacetamol only lowers temperature in children, not in adults
- CParacetamol makes the body produce more heat
- DParacetamol needs a temperature below 37 °C to work
8.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?
- AA possible wound infection that needs assessment and reporting
- BThe wound has dried out and needs to be left open
- CAn allergy to the dressing that needs no action
- DNormal healing, because there is no fever and the wound is still closed
解答
- 1. C · Moist and pink to red
- 2. D · Foot drop
- 3. A · Leakage of an irritant (vesicant) drug into the tissue around the vein
- 4. D · Gloves can have tiny holes and hands can be contaminated during removal
- 5. D · Have the patient sit on the edge of the bed for a short time before standing
- 6. B · Let the patient do what they can and help with the rest
- 7. A · The heat comes from failed heat loss, not a raised set point
- 8. A · A possible wound infection that needs assessment and reporting
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