1.やさしい
Amphotericin B is used mainly for:
- AInfluenza in older people
- BMild athlete's foot
- CSerious systemic fungal infections
- DBacterial urinary tract infections
2.やさしい
Which signs are typical of hypoglycaemia?
- ASweating, shakiness, a fast heart rate and confusion
- BFruity breath with deep, rapid breathing
- CA slow pulse, constipation and weight gain
- DThirst, frequent urination and warm, dry, flushed skin
3.やさしい
Which drug is the antidote for paracetamol (acetaminophen) overdose?
- AVitamin K
- BNaloxone
- CAcetylcysteine
- DFlumazenil
4.ふつう
A patient is starting lisinopril. Which rare but serious adverse effect should the nurse teach the patient to report immediately?
- AAn increase in appetite in the evening
- BA harmless rash on the palms of the hands
- CDarker skin after exposure to sunlight
- DSwelling of the lips, tongue or face
5.ふつう
During an infusion of a vesicant chemotherapy drug, the patient reports burning, and the site is swollen. What should the nurse do first?
- AFlush the line with a large volume of saline
- BRemove the cannula at once and massage the area firmly
- CStop the infusion, leave the cannula in and follow the protocol
- DIncrease the infusion rate to finish quickly
6.ふつう
A patient with difficulty swallowing is prescribed several tablets. Which one should not be crushed?
- AA modified-release (extended-release) tablet
- BA tablet that the pharmacist says may be crushed
- CA plain paracetamol tablet
- DA plain aspirin dispersible tablet
7.むずかしい
低用量経口避妊薬(混合型)を使っている女性が、てんかんのためにカルバマゼピンを開始しました。主な懸念は何ですか?
- A組み合わせによる重い低血糖
- B避妊薬がその代謝を強く遮断するためのカルバマゼピン中毒
- Cホルモンの代謝が速まるための避妊の失敗
- D相互作用はないので懸念はない
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 stopping warfarin without telling anyone
- BIgnore the supplements, as natural products are safe with warfarin
- CAdvise taking extra supplements to improve healing
- DTell the surgical team, as the supplements can increase bleeding
解答
- 1. C · Serious systemic fungal infections
- 2. A · Sweating, shakiness, a fast heart rate and confusion
- 3. C · Acetylcysteine
- 4. D · Swelling of the lips, tongue or face
- 5. C · Stop the infusion, leave the cannula in and follow the protocol
- 6. A · A modified-release (extended-release) tablet
- 7. C · ホルモンの代謝が速まるための避妊の失敗
- 8. D · Tell the surgical team, as the supplements can increase bleeding
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