1.やさしい
What is the normal serum potassium range in adults?
- A6.0–7.5 mmol/L
- B1.5–2.5 mmol/L
- C135–145 mmol/L
- D3.5–5.0 mmol/L
2.やさしい
What does "polypharmacy" mean?
- ATaking one drug in several different forms
- BThe use of many medicines at the same time, often five or more
- CA pharmacy that stocks many different brands of the same drug
- DUsing a drug at a very high dose
3.やさしい
Which adverse effect can follow long-term use of strong topical corticosteroids?
- AThickening of the skin
- BPermanent darkening of the nails
- CThinning of the skin
- DIncreased hair loss on the scalp
4.ふつう
Which approach is usually recommended to prevent constipation in a patient on regular opioids?
- ANo laxative until the patient has not opened the bowels for a week
- BA stimulant laxative such as senna, often with a stool softener
- CBulk-forming fibre alone, with fluid intake restricted
- DAn antidiarrhoeal drug at night to slow the gut
5.ふつう
1000 mL of IV fluid is to be given over 8 hours with a pump. What rate should be set?
- A125 mL/h
- B250 mL/h
- C80 mL/h
- D100 mL/h
6.ふつう
A patient with diabetes is sweaty and shaky. Blood glucose is 3.0 mmol/L (54 mg/dL). The patient is awake and can swallow. What should the nurse do first?
- AGive a large meal high in fat and protein to keep glucose up for longer
- BGive 15–20 g of fast-acting carbohydrate, such as juice
- CGive intramuscular glucagon at once
- DGive the next scheduled dose of insulin
7.むずかしい
A woman has received a high-dose oxytocin infusion with large volumes of hypotonic fluid for many hours. She now has a headache, confusion and a low serum sodium. What is the most likely cause?
- ANormal tiredness after a long labour
- BWater intoxication from the antidiuretic effect of oxytocin
- CExcessive salt in the infusion fluid
- DAn allergic reaction to oxytocin causing brain swelling
8.むずかしい
A patient on warfarin also takes ginkgo and high-dose garlic supplements and is having minor surgery next week. What should the nurse do?
- AAdvise taking extra supplements to improve healing
- BIgnore the supplements, as natural products are safe with warfarin
- CAdvise stopping warfarin without telling anyone
- DTell the surgical team, as the supplements can increase bleeding
解答
- 1. D · 3.5–5.0 mmol/L
- 2. B · The use of many medicines at the same time, often five or more
- 3. C · Thinning of the skin
- 4. B · A stimulant laxative such as senna, often with a stool softener
- 5. A · 125 mL/h
- 6. B · Give 15–20 g of fast-acting carbohydrate, such as juice
- 7. B · Water intoxication from the antidiuretic effect of oxytocin
- 8. D · Tell the surgical team, as the supplements can increase bleeding
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