1.やさしい
Which intramuscular site is generally preferred for adults because it is far from major nerves and vessels?
- AForearm
- BDorsogluteal
- CVentrogluteal
- DDeltoid for large volumes
2.やさしい
What is the purpose of the Z-track technique for intramuscular injections?
- ATo allow a larger volume to be given than with a standard injection
- BTo avoid the need to clean the skin
- CTo stop the drug leaking back into the subcutaneous tissue
- DTo make the injection faster
3.やさしい
Which signs are typical of hypoglycaemia?
- AThirst, frequent urination and warm, dry, flushed skin
- BA slow pulse, constipation and weight gain
- CSweating, shakiness, a fast heart rate and confusion
- DFruity breath with deep, rapid breathing
4.ふつう
スタチンの重大だがまれな副作用で、患者がすぐに報告すべきものはどれですか?
- A空咳
- B金属のような味
- C足首のむくみ
- D原因のわからない筋肉の痛みや脱力
5.ふつう
メトロニダゾールを服用する患者が通常避けるよう勧められるものは何ですか?
- A乳製品
- Bアルコール
- C日光
- Dグレープフルーツジュース
6.ふつう
A patient is starting doxazosin, an alpha-1 blocker. What should the nurse advise about the first dose?
- ATake it in the morning with a cup of strong coffee to stay alert
- BExpect a short rise in blood pressure after the dose
- CTake it at bedtime, because it can cause dizziness and fainting
- DTake it only if the urine is darker than usual
7.むずかしい
During an alteplase infusion for acute ischaemic stroke, the patient develops a sudden severe headache and her level of consciousness falls. What is the nurse's first action?
- AStop the alteplase infusion and notify the provider urgently
- BSlow the infusion to half the rate and recheck in 30 minutes
- CGive paracetamol for the headache and continue the infusion
- DGive a bolus of heparin to prevent a new clot
8.むずかしい
500 mg の静注で初期血漿濃度が 10 mg/L になりました。分布容積はいくつですか?
- A50 L
- B500 L
- C5000 L
- D5 L
解答
- 1. C · Ventrogluteal
- 2. C · To stop the drug leaking back into the subcutaneous tissue
- 3. C · Sweating, shakiness, a fast heart rate and confusion
- 4. D · 原因のわからない筋肉の痛みや脱力
- 5. B · アルコール
- 6. C · Take it at bedtime, because it can cause dizziness and fainting
- 7. A · Stop the alteplase infusion and notify the provider urgently
- 8. A · 50 L
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