1.简单
What are Kussmaul respirations?
- ASlow, shallow breathing after an opioid overdose
- BShort pauses in breathing during normal sleep
- CDeep, rapid breathing seen in metabolic acidosis such as DKA
- DNoisy, high-pitched breathing caused by a blocked upper airway
2.简单
Which laboratory finding is expected in a patient with chronic kidney disease who receives dialysis?
- AA platelet count of 900,000/mm³
- BA raised serum creatinine
- CA low serum creatinine
- DA serum sodium of 160 mEq/L
3.简单
What is the normal baseline fetal heart rate?
- A160–220/min
- B110–160/min
- C40–60/min
- D60–100/min
4.中等
A nurse teaches a patient to use an incentive spirometer. Which statement shows a need for further teaching?
- A“I will breathe in slowly and deeply through the mouthpiece.”
- B“I will try to hold my breath for a few seconds at the top.”
- C“I will use it several times every hour while awake.”
- D“I will blow into it as hard and fast as I can.”
5.中等
A patient with angina is taught to use sublingual nitroglycerin (GTN). Which statement shows a need for further teaching?
- A“I will take five tablets one after the other before I call for help.”
- B“I will carry the tablets with me when I go out.”
- C“If the pain has not eased as my action plan says, I will call emergency services.”
- D“I will sit or lie down when I take a tablet.”
6.中等
A patient has a serum potassium of 6.8 mEq/L. Which action comes first?
- APlace the patient on a cardiac monitor
- BEncourage foods high in potassium
- CGive the patient’s scheduled potassium supplement
- DRecheck the level next week
7.困难
Two days after starting haloperidol, a patient suddenly develops painful neck twisting and the eyes roll upwards. What should the nurse anticipate?
- ANo action, because the spasm is a sign of improvement
- BPhysical restraint until the spasm passes
- CA higher dose of haloperidol to calm the patient and stop the movements quickly
- DAn anticholinergic drug, such as benztropine or procyclidine, as prescribed
8.困难
During surgery under general anesthesia, a patient develops rising end-tidal carbon dioxide, muscle rigidity and a rapidly increasing temperature. Which drug should the nurse anticipate?
- ANaloxone
- BAtropine
- CDantrolene
- DFlumazenil
答案
- 1. C · Deep, rapid breathing seen in metabolic acidosis such as DKA
- 2. B · A raised serum creatinine
- 3. B · 110–160/min
- 4. D · “I will blow into it as hard and fast as I can.”
- 5. A · “I will take five tablets one after the other before I call for help.”
- 6. A · Place the patient on a cardiac monitor
- 7. D · An anticholinergic drug, such as benztropine or procyclidine, as prescribed
- 8. C · Dantrolene
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