护理助理(CNA)知识
方法
- 检查住养者此刻是否处于危险中(呼吸停止、噎住、跌倒、胸痛、卒中征象);如果是,先保证其安全并立即叫护士。
- 问一问这项任务是否在护理助理的职责范围和培训范围内;如果不是,礼貌地拒绝并告知护士。
- 尊重住养者的权利:隐私、选择权、拒绝照护、尊严,以及免受虐待和不必要的约束。
- 应用基本规则:手卫生、人体力学、床放低且呼叫器在伸手可及处、穿衣时先穿弱侧。
- 观察并报告:与住养者平时的状态比较,及时、客观地报告变化。
公式表、每个专题的关键方法步骤和 4 道练习题,完整解答附在最后。
When a new resident is admitted, which task is often done by the nursing assistant?
A dying resident no longer wants to eat or drink. Her family urges the nursing assistant to make her eat. What should the nursing assistant do?
练习题(虚构数值,不作为临床指导)。 一名新生儿体重 6 lb 14 oz。按 1 lb = 16 oz 和 1 kg = 2.2 lb,求以千克表示的体重m。取到两位小数。
练习题(虚构数值,不作为临床指导)。 一次输注的给药速率为 25 mcg/min。请把这个剂量速率D用 mg/h 表示。
答案: A · Measuring height, weight and vital signs and listing belongings
On admission, nursing assistants often take baseline measurements, list belongings on an inventory form and help the resident settle in. The nurse assesses the resident and plans care.
答案: C · Offer small amounts if she wants them, never force, and tell the nurse
Near death, the body needs less food and fluid, and forcing it can cause choking and discomfort. The resident's wishes are respected, mouth care keeps her comfortable, and the nurse can talk with the family.
答案: m = 3.13 kg
家用计量和体重:护理考试使用取整的等量关系:1 茶匙(tsp)= 5 mL,1 汤匙(tbsp)= 15 mL = 3 tsp,1 液量盎司(fl oz)= 30 mL = 2 tbsp,1 杯 = 8 fl oz = 240 mL。体重方面,1 kg = 2.2 lb,1 lb = 16 oz;长度方面,1 英寸 = 2.54 cm。设置换算时,要让你不需要的单位相互约去。
答案: D = 1.5 mg/h
量纲分析:先写出已知量,再乘以写成分数形式的换算系数(例如 60 min/1 h 或 1 mg/1000 mcg),使每个不需要的单位在分子和分母各出现一次并相互约去。只剩下所求单位时再计算。使用题目给出的等量关系,只对最终答案取整。
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