【最新ISPN测试题】ISPN测试题(190)
2016/6/15 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 nursing student needs to administer potassium chloride intravenously as prescribed to a client with hypokalemia. The nursing instructor determines that the student is unprepared for this procedure if the student states that which action is part of the plan for preparation and administration of the potassium?

     1.Obtaining an intravenous (IV) infusion pump

     2.Monitoring urine output during administration

     3.Preparing the medication for bolus administration

     4.Ensuring that the medication is diluted in the appropriate amount of normal saline

     Correct Answer:3

     Potassium chloride administered intravenously must always be diluted in IV fluid and infused via an infusion pump. Potassium chloride is never given by bolus (IV push). Giving potassium chloride by IV push can result in cardiac arrest. Dilution in normal saline is recommended, and dextrose solution is avoided because this type of solution increases intracellular potassium shifting. The IV bag containing the potassium chloride is always gently agitated before hanging. The IV site is monitored closely because potassium chloride is irritating to the veins and there is risk of phlebitis. The nurse monitors urinary output during administration and contacts the health care provider if the urinary output is less than 30 mL/hour.

     2、A nursing student is performing a respiratory assessment on a female adult client and is assessing for tactile fremitus. Which action by the nursing student indicates a need for further teaching?

     1.Palpating over the lung apices in the supraclavicular area

     2.Asking the client to repeat the word ninety-nine during palpation

     3.Palpating over the breast tissue to assess and compare vibrations from one side to the other

     4.Comparing vibrations from one side to the other as the client repeats the word ninety-nine

     Correct Answer:3

     When assessing for tactile fremitus, the nurse should begin palpating over the lung apices in the supraclavicular area. The nurse should compare vibrations from one side to the other as the client repeats the word ninety-nine. The nurse should avoid palpating over female breast tissue because breast tissue usually blocks the sound.

     3、A nurse is collecting data from a client and notes that the client is taking acetylsalicylic acid (ASA), or aspirin, 5 g daily in divided doses. The nurse determines that this medication has been prescribed to treat which condition?

     1.Backache

     2.Muscle aches

     3.Frequent headaches

     4.Rheumatoid arthritis

     Correct Answer:4

     ASA is a nonsteroidal agent that is prescribed for its anti-inflammatory, antipyretic, and anticoagulant properties. The client may self-administer ASA to treat a headache, backache, or muscle aches, but a 5-g daily dose would not be used to treat these discomforts. A dosage of 3.2 to 6 g daily in divided doses may be prescribed for the client with rheumatoid arthritis.

     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