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FundamentalsofNursing护理学基础浙江中医药大学智慧树知到答案2024年第一章测试
Thenursespendstimewiththepatientandfamilyreviewingthedressingchangeprocedureforthepatient’swound.Thepatient’sspousedemonstrateshowtochangethedressing.Thenurseisactinginwhichprofessionalrole?
A:EducatorB:CaregiverC:CasemanagerD:Advocate
答案:AEffectivedischargeplanningoftenrequiresreferralstovarioushealthcaredisciplines.()
A:True
B:False
答案:AWhatkindoflyingpositionshouldthepatientuseforbackexamination?()
A:Dorsalelevatedposition
B:Knee-chestposition
C:Proneposition
D:Trendelenburg’sposition
答案:CWhichquestionaboutnursingassessmentwouldbestindicatethatanincontinentmanwithahistoryofprostateenlargementmightnotbeemptyinghisbladderadequately?()
A:Doyouneedhelpgettingtothetoilet?
B:Doyoufeelaburningsensationwhenyoupassurine?
C:Doyoudribbleurineconstantly?
D:Doyouexperienceleakingofurinewhenyoucoughorsneeze?
答案:C
第二章测试
Ahospitalprovidesadvancedtertiarycareforpatientssufferingfromlife-threateningillnesses,whatkindofbasicfunctiondoesitprovide?()
A:Criticalcareservice
B:Emergency
C:Therapeutic
D:Diagnostic
答案:ABasedonlevelofservices,hospitalscanbedividedinto:()
A:Short-termhospital
B:Daycarehospital
C:Generalhospital
D:Long-termhospital
答案:ABDPreventiveservicesofahospitalinclude:()
A:Antenatalcare
B:Babyclinic
C:Immunization
D:Familywelfareclinics
答案:ABCCharacteristicsofprivatehospitalsare:()
A:Establishedbyregisteredcompanies
B:Ownedbyanindividualoragroupofindividuals
C:Arerunforcommercialpurposes
D:Generallyareself-funded
答案:BCDTeamworkisadynamicprocessinvolvingtwoormorehealthcareprofessionals.()
A:False
B:True
答案:B
第三章测试
Characteristicsofachronicillnessare:()
A:Thesymptomsappearabruptly.
B:Chronicillnessusuallylastslongerthansixmonths.
C:Affectsfunctioninginoneormoresystems.
D:Chronicillnessisreversible.
答案:BCThetypeofadmissiondependingonplanningare:()
A:Routineadmission
B:Emergencyadmission
C:Therapeuticadmission
D:Diagnosticadmission
答案:ABWhatisatypeofbedpositionwheretheheadofbedisraisedapproximately30degreesandpromoteslungexpansionforclientwithrespiratoryproblemcalled?()
A:ReverseTrendelenburg’sposition
B:Fowler’sposition
C:Semi-Fowler’sposition
D:Trendelenburg’sposition
答案:CBothacuteandchronicillnesseshavethepotentialtobelifethreatening.
A:TrueB:False
答案:AWhatisasytemoffamily-centeredcarethatallowspatientstolivewithcomfort,independenceanddignitywhileeasingthepainsofterminalillnesscalled?
A:NursingcentersB:RespitecareC:HospicecareD:Assistedliving
答案:C
第四章测试
Apatientisdiagnosedwithmethicillin-resistantstaphylococcusaureus(MRSA)pneumonia.Whichtypeofisolationprecautionismostappropriateforthispatient?()
A:Dropletprecautions
B:Standardprecautions
C:Reverseisolation
D:Contactprcecautions
答案:AWhenshouldanursewearamask?()
A:Thepatienthasacquiredimmunodeficiencysyndrome(AIDS)andacongestedcough.
B:Thepatientisindropletprecautions.
C:Thenurseisassistingwithanaerosolizingrespiratoryproceduresuchassuctioning.
D:Thepatient’sdentalhygieneispoor.
答案:BCWhattypeofpersonalprotectiveequipmentarestaffrequiredtowearwhencaringforapediatricpatientwhoisplacedinairborneprecautionsforconfirmedchickenpox/herpeszoster?()
A:N95respiratorymask
B:Disposalgown
C:Surgicalmask
D:Faceshieldorgoggles
答案:ABApatientwhohasbeenisolatedforClostridiumdifficile(C.difficile)asksyoutoexplainaboutwhatheshouldknowaboutthisorganism.Whatisthemostappropriateinformationtoincludeinpatientteaching?()
A:Whilethepatientisincontactprecautions,hecannotleavetheroom.
B:Theorganismisusuallytransmittedthroughthefecal-oralroute.
C:Everyonecomingintotheroommustbewearingagownandgloves.
D:Handsshouldalwaysbecleanedwithsoapandwaterversusalcohol-basedhandsanitizer.
答案:BCDTheprimaryreasonforgowningistopreventsoilingclothesduringcontactwithapatient.()
A:False
B:True
答案:B
第五章测试
Whichisthefirststepthatanurseshoulddowhenshegetsasharpinjury?()
A:Dressthewound
B:Disinfectthewoundwith75%alcohol
C:Rinsethewoundwithrinsingwater
D:Reporttothedoctor
答案:CThemethodsofhandhygieneinclude()
A:Surgicalhandsepsis
B:Handwashing
C:Antiseptichandwash
D:Antiseptichandrub
答案:ABCDWhatarethefactorsincreasingtherisksforoccupationalinfectiontohealthcaregivers?()
A:Physicalfactors
B:Chemicalfactors
C:Psychosocialfactors
D:Biologicalfactors
答案:ABCDNursesmustweargloveswhenimplementinginterventionstopatientswhoareinanyclinicalcondition.()
A:True
B:False
答案:BWeneedtochoosewhichkindofmasktouseaccordingtothevariousconditionsinthehospital.()
A:True
B:False
答案:A
第六章测试
RotatingsitesduringrepeatedmeasurementsofBPandpulseoximetryincreasestheriskforskinbreakdown.()
A:True
B:False
答案:BThenurseisassessinganelderlypostsurgicalpatientinthehome.Tobeginthephysicalexamination,thenurseshouldfirstassessthepatient’s?()
A:Abilitytoswallow.
B:Heightandweight.
C:Vitalsigns.
D:Gait
答案:CApatientisadmittedfordehydrationcausedbypneumoniaandshortnessofbreath.Hehasahistoryofheartdiseaseandcardiacdysrhythmias.Thenursingassistantreportshisadmittingvitalsignstothenurse.Whichmeasurementsshouldthenursereassess?
()
A:RightarmBP:118/72
B:Oxygensaturation:99%
C:Respiratoryrate:28
D:Temporaltemperature:37.4℃(99.3℉)E:Radialpulserate:72andirregular
答案:BCEBradypneaisrateofbreathinglessthan10breaths/min.()
A:True
B:False
答案:AThenurseisassessingvitalsignsforapatientjustadmittedtothehospital.Ideally,andiftherearenocontraindications,howshouldthenursepositionthepatientforthisportionoftheadmissionassessment?()
A:Lyingflatonthebackwithkneesflexed.
B:Lyingflatonthebackwitharmsandlegsfullyextended.
C:Sittingupright.
D:Side-lyingwiththekneesflexed.
答案:C
第七章测试
Usingadocumentationtoolhelpslinkimplementationtooutcomes,soanevaluationoftheplanofcarefollowsobjectivecriteria.()
A:True
B:False
答案:BTheskilloftreatingpressureulcerscanbedelegatedtonursingassistivepersonnel.()
A:False
B:True
答案:AImpairedskinintegrityisnotafrequentproblemformosthealthypeople.()
A:True
B:False
答案:AAgingcausesadiminishedinflammatoryresponse,resultinginrapidepithelializationandwoundhealing.()
A:True
B:False
答案:BThelesserthedegreetowhichthefactorsofshear,frictionandmoisturearepresent,themoresusceptibletheskinwillbetodamagefrompressure.()
A:True
B:False
答案:B
第八章测试
Incaringforayoungchildwithpain,whichassessmenttoolisthemostuseful?()
A:Facepain-ratingscale
B:0-10numericpainscale
C:McGill-Melzackpainquestionnaire
D:Simpledescriptionpainintensityscale
答案:AInapplyingtheprinciplesofpaintreatment,whatisthefirstconsideration?()
A:Treatmentisbasedonclientgoals.
B:Wemustbelievethepatient’sownperceptionofpain,
C:Amultidisciplinaryapproachisneeded.
D:Drugsideeffectsmustbepreventedandmanaged.
答案:BThephysicianhasorderedaplaceboforaclientwithchronicpain.Youareanewlyhirednurseandyoufeelveryuncomfortableadministeringthemedication.Whatisthefirstactionthatyoushouldtake?()
A:Checkthehospitalpolicyregardinguseoftheplacebo.
B:Followapersonalcodeofethicsandrefusetogiveit.
C:Preparethemedicationandhandittothephysician
D:Contactthechargenurseforadvice.
答案:DWhatkindoflyingpositionshouldthepatientuseforanalandrectalexamination?()
A:Fowler’sPosition
B:Knee-chestposition
C:Proneposition
D:Supineposition
答案:BWhichofthefollowinginstructionsiscrucialforthenursetogivetobothfamilymembersandthepatientwhoisabouttobestartedonapatientcontrolledanalgesia(PCA)ofmorphine?()
A:DonotusethePCAuntilthepainissevere.
B:Donotpushthebuttontogotosleep.
C:ThePCAsystemcansetlimitstopreventoverdosesfromoccurring.
D:Notifythenursewhenthebuttonispushed.
E:Onlythepatientshouldpushthebutton.
答案:BCEIntravenous(IV)routeofadministrationispreferredifimmediateanalgesiaandrapidtitrationarenecessary.()
A:True
B:False
答案:A
第九章测试
Coldtherapycanrelievepain.Whatisthemechanism?()
A:Decreasesperipheralnervesensitivity
B:Decreasesbacterialviability
C:Reducescellmetabolism
D:Reducestheexcitabilityofpainnerves
答案:APatientismale,14yearsold,accidentallysprainedhisankleduringbasketballmatchandwenttotheschoolclinictoseeadoctoronehourlater.Thecorrecttreatmentatthatmomentis()
A:Alternateuseofheatandcoldtherapy
B:Hotwaterfootbath
C:Heattherapy
D:Coldtherapy
答案:DPatientismale,32yearsold,cametothehospitalfortreatmentduetoabdominalpain,pallorandcoldsweat.Beforeadefinitediagnosiswasmade,thenursingactionthatthenurseshouldnottakeis()
A:Askformedicalhistory
B:Hotwaterbagforpainrelief
C:Measurementofvitalsigns
D:Contactyourdoctor
答案:BWhatisthemechanismoficecaptreatmentforbrainedema?()
A:Reducebraintissuemetabolism
B:Reduceheadache
C:Decreaseintracranialpressure
D:Reducecentralrespiratoryexcitability
答案:AWhichofthefollowingbodypartsisnotincludedinthecontraindicationsforcoldtherapy?()
A:Scrotum
B:Armpit
C:Posterioroccipital
D:Externalear
答案:B
第十章测试
Thenurseevaluateswhichlaboratoryfindingtoassessapatient’spotentialforwoundhealing?()
A:Nitrogenbalance
B:Potassium
C:Lipids
D:Fluidstatus
答案:AThenurseiscaringforapatientwithdysphagiaandisfeedingherpureedchickendietwhenshebeginstochoke.Whatistheprioritynursingintervention?()
A:Turnherontheirside
B:Suctionhermouthandthroat
C:StopfeedingherandplaceonNPO
D:Putonoxygenat2-Lnasalcannula
答案:CApatientwhoisreceivingparenteralnutrition(PN)throughacentralvenouscatheter(CVC)hasanairembolus.Whatwouldthenursedofirst?()
A:Clamptheintravenoustubingtopreventmoreairfromenteringtheline
B:HavethepatientperformaValsalvamaneuver
C:Notifythehealthcareproviderimmediately
D:Havethepatienttakeadeepbreathandholdit
答案:BWhatisthemainsourceofenergyinthediet?()
A:Protein
B:Fat
C:Carbohydrate
D:Water
答案:CThenurseiscaringforapatientwithpneumoniawhohasseveremalnutrition.Thenurserecognizesthat,becauseofthenutritionalstatus,thepatientisatincreasedriskfor:()
A:Sepsis
B:Cardiacarrhythmias
C:Heartdisease
D:Pleuraleffusion
答案:ABD
第十一章测试
Anambulatoryelderlywomanwithdementiaisincontinentofurine.Shehaspoorshort-termmemoryandhasnotbeenseentoiletingindependently.Whatisthebestnursinginterventionforthispatient?()
A:Recommendthatshebeevaluatedforanoveractivebladdermedication
B:Recommendthatshebeevaluatedforanindwellingcatheter
C:Startascheduledtoiletingprogram
D:Startabladder-retrainingprogram
答案:CWhatbestdescribesmeasurementofpostvoidresidual?()
A:Performabladderscanonthepatientwhenheorshereportsastrongurgetovoid.
B:Catheterizethepatient30minutesaftervoiding.
C:Performabladderscanonthepatientimmediatelyaftervoiding.
D:Catheterizethepatientwitha16Fr/10mLcatheter,
答案:CApatientdidnothavebowelmovementfor4days.Nowshehasnauseaandexperienceseverecrampingthroughoutherabdomen.Onthebasisofthesefindings,whatdoyoususpectiswrongwiththepatient?()
A:Irritationoftheintestinalmucosa
B:Gastroenteritis
C:Afecalimpaction
D:Anintestinalobstruction
答案:DEarly-morningurinemaybecloudybecauseofurineheldinthebladderovernight.()
A:False
B:True
答案:BWhenassessingapatient’sfirstvoidedurineoftheday,whichfindingshouldbereportedtothehealthcareprovider?
A:Lightpinkurine
B:SlightlycloudyurineC:PaleyellowurineD:Darkamberurine
答案:A
第十二章测试
Apatienthasjustreceived30mgofcodeinebymouthforpain.Fiveminuteslaterhevomits.Whatshouldthenursedofirst?()
A:Remedicatethepatient.
B:Callthephysician.
C:Explaintothepatientthatshecandonothingtohelphim.
D:Examinetheemesis.
答案:DAnursingstudentisadministeringAmpicillinPO.Theexpirationdateonthemedicationwrapperwasyesterday.Whatisthenextappropriateactionforthenursingstudent?()
A:Callthehealthcareproviderafterdiscussingthissituationwiththechargenurse.
B:Administerthemedicationsincemedicationsaregoodfor30daysaftertheirexpirationdate.
C:Askthenursingprofessorforadvice.
D:Returnthemedicationtopharmacyandgetanothertablet.
答案:DThesixrightsofmedicationadministrationis:()
A:Rightpatient.
B:Rightdocumentation.
C:Allabove.
D:Rightroute.
E:Righttime.
F:Rightdose.
G:Rightmedication.
答案:CAnurseaccidentalygivesapatientthemedicationsthatwereorderedforthepatient’sroommate.Whatisthenurse’sfirstpriority?()
A:Informthechargenurseoftheerror.
B:Completeanoccurrencereport.
C:Notifythehealthcareprovider.
D:Assessthepatientforadverseeffects
答案:DThebestsubcutaneousinjectionsiteinclude:()
A:Theabdomenfrombelowthecostalmarginstotheiliaccrest
B:Theinnerforear
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