1.やさしい
副作用(有害薬物反応)とは何ですか?
- A過量服用の後にだけ起こる反応
- B薬の意図した治療効果
- C通常の用量で薬に起こる、有害で意図しない反応
- D患者が気づく薬のあらゆる効果
2.やさしい
錠剤の腸溶性コーティングの目的は何ですか?
- A錠剤を口の中で溶けるようにする
- B錠剤を未変化のまま便として体外に出す
- C腸に届くまで錠剤が溶けないようにする
- D錠剤を甘くする
3.やさしい
Celecoxib selectively inhibits which enzyme?
- ACyclo-oxygenase-1 (COX-1)
- BLipoxygenase
- CCyclo-oxygenase-2 (COX-2)
- DPhospholipase A2
4.ふつう
Benzathine benzylpenicillin (penicillin G benzathine) is ordered. Which route is correct?
- ASubcutaneous in the abdomen
- BDeep intramuscular only
- CIntravenous infusion over 30 minutes
- DIntravenous push
5.ふつう
A malnourished patient with alcohol dependence needs IV glucose. Which vitamin should be given before or with it?
- AThiamine (vitamin B1)
- BVitamin K (phytomenadione)
- CVitamin C
- DVitamin D
6.ふつう
How should a patient store sublingual glyceryl trinitrate (nitroglycerin) tablets?
- ALoose in a shirt pocket close to the body for quick access
- BIn the original dark glass bottle, away from heat, light and moisture
- CIn the fridge in a damp, open container to keep them fresh and cool
- DIn a plastic weekly pill box with other tablets
7.むずかしい
Why is strict aseptic technique and a limited hang time needed for propofol infusions?
- APropofol breaks down into a toxic gas after a few hours
- BIts lipid emulsion lets bacteria grow if it is contaminated
- CLight exposure changes propofol into an opioid
- DPropofol becomes more potent the longer it hangs
8.むずかしい
During an IV glyceryl trinitrate (nitroglycerin) infusion for chest pain, the patient's blood pressure drops to 82/50 mmHg and he feels faint. What is the nurse's first action?
- AStop or reduce the infusion as per protocol, lay the patient flat and notify the prescriber
- BGive a sublingual nitroglycerin tablet and increase the rate to relieve the remaining chest pain
- CSit the patient fully upright and give paracetamol for the headache
- DIncrease the infusion rate to improve blood flow to the heart
解答
- 1. C · 通常の用量で薬に起こる、有害で意図しない反応
- 2. C · 腸に届くまで錠剤が溶けないようにする
- 3. C · Cyclo-oxygenase-2 (COX-2)
- 4. B · Deep intramuscular only
- 5. A · Thiamine (vitamin B1)
- 6. B · In the original dark glass bottle, away from heat, light and moisture
- 7. B · Its lipid emulsion lets bacteria grow if it is contaminated
- 8. A · Stop or reduce the infusion as per protocol, lay the patient flat and notify the prescriber
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