1.简单
哪项陈述最能描述护理中的委派?
- A把对患者的所有责任和问责都交给另一个人
- B请医生接手护士太忙而无法做的任务
- C授权给有能力的人完成选定的任务,同时护士仍承担问责
- D因为任务不属于自己的角色而拒绝
2.简单
After chemotherapy, a patient has a very low neutrophil count. Which risk is the nursing priority?
- ADehydration
- BBleeding
- CHypertension
- DInfection
3.简单
What is the usual adult reference range for serum potassium?
- AAbout 6.0–8.0 mEq/L
- BAbout 1.5–2.5 mEq/L
- CAbout 3.5–5.0 mEq/L
- DAbout 135–145 mEq/L
4.中等
An older adult asks for something to help them sleep. Which drug is most likely to cause confusion and falls in this age group?
- AMelatonin
- BDiphenhydramine
- CAcetaminophen (paracetamol)
- DA warm milky drink
5.中等
On the first day after abdominal surgery, a patient has a temperature of 37.9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?
- ARestrict oral fluids so that the lungs do not fill up with extra fluid
- BGive a cough suppressant so that the incision is not strained
- CKeep the patient lying flat in bed to rest the incision fully
- DEncourage deep breathing, coughing and use of the incentive spirometer
6.中等
A patient’s urinary catheter has drained no urine for two hours, and the lower abdomen is swollen. What should the nurse do first?
- ACheck the tubing for kinks or obstruction
- BRemove the catheter and wait for the patient to void
- CGive a prescribed diuretic straight away
- DEncourage the patient to drink more water
7.困难
哪位患者最适合从重症监护室转出,为新入院患者腾出空间?
- A因呼吸衰竭 1 小时前插管,仍在镇静
- B2 天前拔管,鼻导管吸氧 2 L/min 稳定,没有血管活性药物输注
- C正在输注去甲肾上腺素,今早剂量已增加
- D夜间因消化道出血入院,仍在输血
8.困难
Which patient needs airborne precautions rather than droplet precautions?
- AA teenager with mumps
- BA child with chickenpox (varicella)
- CAn adult with influenza
- DA child with pertussis (whooping cough)
答案
- 1. C · 授权给有能力的人完成选定的任务,同时护士仍承担问责
- 2. D · Infection
- 3. C · About 3.5–5.0 mEq/L
- 4. B · Diphenhydramine
- 5. D · Encourage deep breathing, coughing and use of the incentive spirometer
- 6. A · Check the tubing for kinks or obstruction
- 7. B · 2 天前拔管,鼻导管吸氧 2 L/min 稳定,没有血管活性药物输注
- 8. B · A child with chickenpox (varicella)
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