【最新ISPN测试题】ISPN测试题(187)
2016/6/12 河南安琪职业培训学校

    

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     Exercise:

     1、The nurse is reviewing the manual of disaster preparedness and response for the annual hospital disaster drill. The nurse reads that which are functions of the American Red Cross (ARC) as opposed to the Federal Emergency Management Agency (FEMA) in the United States?Select all that apply.

     1.Provide monetary relief.

     2.Provide crisis counseling.

     3.Identify and train personnel.

     4.Issue presidential declarations.

     5. Deploy National Guard troops.

     6. Handle inquiries from families.

     Correct Answer:2,3,6

     In general, the ARC provides support to individuals involved in a disaster, whereas FEMA deals with regional responses to disasters, such as issuing presidential declarations, providing monetary relief, and deploying National Guard troops. ARC has been given authority by the federal government to identify and train personnel for a disaster and provide disaster relief, including crisis counseling, operating shelters, and handling inquiries from the family.

     2、A male client arrives in the hospital emergency department and tells the nurse that he twisted his ankle while jogging. The client is seen by the health care provider (HCP) and is diagnosed with a sprained ankle. The nurse provides instructions to the client regarding home care for the injury. Which statement, if made by the client, would indicate an understanding of appropriate care measures for the next 24 hours?

     1."I should place hot packs on my ankle."

     2."I should wrap my ankle with blankets."

     3."I should elevate my foot above the level of the heart."

     4."I should try to ambulate at least 10 minutes out of every hour."

     Correct Answer:3

     Soft tissue injuries such as sprains are treated with RICE (rest, ice, compression, and elevation) for the first 24 to 48 hours after the injury, depending on HCP prescription. Ice is applied intermittently for 20 to 30 minutes at a time. Heat is not used for the first 24 hours because this could cause venous congestion, thereby increasing edema and pain. Blankets would produce heat to the affected area. The client should rest and not walk around, and the foot should be elevated and not placed in a dependent position.

     3、The nurse is providing home care instructions to the parents of an infant who had a surgical repair of an inguinal hernia. What instruction should the nurse include to prevent infection at the surgical site?

     1.Report a fever immediately.

     2.Restrict the infant's physical activity.

     3.Change the diapers as soon as they become damp.

     4.Soak the infant in a tub bath twice a day for the next 5 days.

     Correct Answer:3

     Changing diapers as soon as they become damp helps prevent infection at the surgical site. Parents are instructed to change diapers more frequently than usual during the day and once or twice during the night. A fever may indicate the presence of an infection but measuring the temperature does not prevent an infection. No restrictions on the infant's activity are needed. Parents are instructed to give the infant sponge baths instead of tub baths for 2 to 5 days.

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