【最新ISPN测试题】ISPN测试题(186)
2016/6/8 河南安琪职业培训学校

    

     点击「箭头所指处」可快速关注微信号：edu-hnangel

     Exercise:

     1、The nurse, listening to the morning report, learns that an assigned client received a unit of granulocytes the previous evening. The nurse makes a note to assess the results of which daily serum laboratory studies to assess the effectiveness of the transfusion?

     1.Hematocrit level

     2. Erythrocyte count

     3.Hemoglobin level

     4.White blood cell count

     Correct Answer:4

     The client who has neutropenia may receive a transfusion of granulocytes, or white blood cells. These clients often have severe infections and are unresponsive to antibiotic therapy. The nurse notes the results of follow-up white blood cell counts and differential to evaluate the effectiveness of the therapy. The nurse also continues to monitor the client for signs and symptoms of infection. Erythrocyte count and hemoglobin and hematocrit levels are determined after transfusion of packed red blood cells.

     2、Acarbose (Precose) is prescribed to treat a client with type 2 diabetes mellitus. Which instruction should the nurse provide when teaching the client about this medication?

     1.Take the medication at bedtime.

     2. Take the medication with the first bite of each regular meal.

     3.The medication will be used to treat symptoms of hypoglycemia.

     4.Headache and dizziness are the most common side effects of this medication.

     Correct Answer:2

     Acarbose is an α-glucosidase inhibitor. Taken with the first bite of each major meal, acarbose delays absorption of ingested carbohydrates, decreasing postprandial hyperglycemia. It is not taken at bedtime. Abdominal pain and flatulence (not headache and dizziness) are the most common side effects of this medication.

     3、A health care provider has written a prescription for wrist restraints to be applied on a client from 10:00 PM to 7:00 AM because the client becomes disoriented during the night and is at risk for pulling out the nasogastric tube and the intravenous catheter. At 11:00 PM, the charge nurse makes rounds on all of the clients in the unit. When assessing the client with the restraints, which observation by the charge nurse indicates that the nurse who applied the restraints performed an unsafe action?

     1.The restraints were applied tightly.

     2.A safety knot was used to secure the restraints.

     3.The call light was placed within reach of the client.

     4.The client's record indicates that the restraints will be released every 2 hours.

     Correct Answer:1

     Restraints should never be applied tightly because that could impair circulation. The restraint should be applied securely (not tightly) to prevent the client from slipping through the restraint and endangering himself or herself. A safety knot should be used because it can be released easily in an emergency. The call light must always be within the client's reach in case the client needs assistance. Restraints, especially limb restraints, must be released every 2 hours (or per agency policy) to inspect the skin for abnormalities.

     回复关键字获得更多相关内容，如ispn﹑视频等等

     请点击右上角--分享到朋友圈!

    

     河南安琪职业培训学校联系方式

     安琪国际护理官网：http://www.hnangel.com

     ISPN/RN一元淘宝：http://hnangel.taobao.com

     地址：郑州市金水区经三路32号(财富广场)4号楼第18层1804室

     电话：4008-167-671

     传真：0371-65721730

    http://www.duyihua.cn
返回 河南安琪职业培训学校 返回首页 返回百拇医药