1.やさしい
肝臓での初回通過代謝を避けられる投与経路はどれですか?
- A経口液剤
- B経口錠剤
- C直腸の高い位置に入れる坐剤
- D静脈内投与
2.やさしい
How does ezetimibe lower cholesterol?
- AIt binds bile acids in the gut
- BIt inhibits HMG-CoA reductase in the liver
- CIt increases the excretion of cholesterol in the urine and bile
- DIt reduces the absorption of cholesterol from the intestine
3.やさしい
Vitamin D supplements support bone health mainly by:
- AReplacing collagen in bone
- BStimulating osteoclasts to break down bone
- CIncreasing calcium absorption from the gut
- DIncreasing calcium loss in the urine
4.ふつう
How should a hyoscine (scopolamine) patch for motion sickness be used?
- AApply it behind the ear several hours before travel
- BSwallow it if no water is available
- CCut it in half for children without advice
- DApply it to the chest only after the vomiting has started
5.ふつう
A patient refuses a prescribed oral medicine. What should the nurse do?
- AExplore the reason, respect the decision, document and inform the prescriber
- BHide the tablet in the patient's food
- CRecord the medicine as given, so that the chart stays complete for the next shift
- DLeave the tablet on the bedside table for later
6.ふつう
A nurse realises that a patient has been given the wrong dose of a medicine. What is the first action?
- AWait to see whether the patient notices
- BComplete the incident report before anything else
- CCorrect the chart so it shows the right dose
- DAssess the patient for effects of the error
7.むずかしい
An older patient on amlodipine develops ankle swelling and is prescribed furosemide. She then becomes dizzy and falls. What does this sequence illustrate?
- ADrug tolerance
- BEnzyme induction
- CA prescribing cascade
- DA type B allergic reaction
8.むずかしい
A nurse gave a patient ten times the prescribed dose of hydromorphone. The patient is currently alert. What is the most appropriate sequence of actions?
- AChange the chart so that it shows the correct dose, and continue to monitor
- BSay nothing because the patient is alert
- CGive another dose later to balance it out
- DMonitor closely, have naloxone ready, inform the prescriber and report
解答
- 1. D · 静脈内投与
- 2. D · It reduces the absorption of cholesterol from the intestine
- 3. C · Increasing calcium absorption from the gut
- 4. A · Apply it behind the ear several hours before travel
- 5. A · Explore the reason, respect the decision, document and inform the prescriber
- 6. D · Assess the patient for effects of the error
- 7. C · A prescribing cascade
- 8. D · Monitor closely, have naloxone ready, inform the prescriber and report
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