Fundamentals of Nursing 护理学基础智慧树知到期末考试答案章节答案2024年浙江中医药大学

FundamentalsofNursing护理学基础智慧树知到期末考试答案+章节答案2024年浙江中医药大学Thestratumcorneum,whichisthethin,outermostlayeroftheepidermishasthefollowingfunctions,selectallthatapply:()

答案:Permitsabsorptionofcertaintopicalmedications;Preventsentranceofcertainchemicalagents;ProtectsunderlyingcellsandtissuesfromdehydrationWhichofthesestatementsaretrueregardingdisinfectionandcleaning?（）

答案:Propercleaningrequiresmechanicalremovalofallsoilfromanobjectorarea.;Cleaninginadirectionfromtheleasttothemostcontaminatedareahelpsreduceinfection.;Generalenvironmentalcleaningisanexampleofmedicalasepsis.Theextrinsicfactorsthataffecttheabilityoftheskintotoleratepressureare:()

答案:Shear;Friction;MoistureNurseswhoworkinruralhospitalsorclinicsrequiretopossessthefollowingcompetence:()

答案:Emergencycare;Physicalassessment;ClinicaldecisionmakingWhenusingicemassageforpainrelief,whichofthefollowingiscorrect?()

答案:Donotapplytoareathatisbeingtreatedwithradiationtherapy.;Applyiceusingfirmpressureoverskin.;Useaslow,circularsteadymassage.Factorstobeconsideredinthechoiceforthesiteforvenipunctureare:()

答案:Thepatient’sage;Conditionoftheveins;Lengthoftimeaninfusionistorun;ThetypeofsolutionusedWhatcontentsdoesthenursingprocessofassessmentincludeaboutapatientwithnutritionalproblems?()

答案:Determinepatient’sdietaryhistory;Identifythesignsandsymptomsassociatedwithalertednutrition.;Assesstheeffectsofillnessontheabilitytopreparemealsathome.;Gatherdatafrompatientsregardingnutritionalpractices.Whichofthefollowingitemsplaytheroleofproducingchemicalenergyandmaintainabalancebetweenanabolismandcatabolism?()

答案:Fat;Protein;CarbohydrateApatienthasanindwellingurinarycatheter.Whydoesanindwellingurinarycatheterpresentariskforurinarytractinfection?（）

答案:Itallowsmigrationoforganismsintothebladder.;Itobstructsthenormalflushingactionofurineflow.Thenursemustverifytheclient’sidentitybeforeadministrationofmedication.Selectatleasttwopatientidentifierswhichyoucanuse?()

答案:Asktheclienthis/hername.;Checktheclient’sidentificationband.Asideeffectisapredictableandoftenunavoidableadverseeffectproducedatausualtherapeuticdose.()

答案:TrueTheinfantsandtheoldarelesseasilyinfectedbythevirusthantheadults.（）

答案:FalseToreducetheriskofadverseeffects,whatshouldthenursedowhencaringforapatientreceivingmorphinesulfateviapatient-controlledanalgesia(PCA)?()

答案:Teachthecaregivernottopushthebuttonforthepatient.Afterseeingapatient,thehealthcareproviderstartstogiveanursingstudentaverbalorderforanewmedication.Thenursingstudentfirstneedsto:（）

答案:Explaintothehealthcareproviderthattheordermustbegiventoaregisterednurse.Bleedingfromthekidneysoruretersusuallycausesurinetobecomedarkred.()

答案:TruePeoplewithtypeObloodareconsidereduniversalblooddonorsbecausetheycanreceivepackedredbloodcells(RBCs)andplateletsofanyABOtype.()

答案:FalseWhichofthefollowingpatientscannotbetreatedwithheattherapy?()

答案:EarlystageofperiodontitisAnelderlypatientcomestothehospitalwithcomplaintsofsevereweaknessanddiarrheaforseveraldays.Fromthefollowingproblems,whichisthemostimportanttoassessinitially?()

答案:DehydrationApatient’sgastricresidualvolumewas250mlat0800and350mlat0900.Whatistheappropriatenursingaction?（）

答案:Donotreinstall,aspirateandholdthefeedinguntilyoutalktotheprimarycareproviderWhichclinicalmanifestationshouldthenurseattributetoadverseeffectsofmorphinesulfateadministeredviaPCA?()

答案:NauseaandvomitingThepatient’sbloodglucoselevelis330mg/dl.Whatistheprioritynursingintervention?（）

答案:Checkthemedicalrecordtoseeifthereisamedicationorderforabnormalglucoselevels.Ifthepatientrunsawayfromtheward/hospital,itbecomesamajorresponsibilityofthe:()

答案:NurseondutyYourorderreadscortisone15mgPOeverymorning.Youhaveonhandcortisone10mgtablets.Howshouldyoupreparethecorrectdose?()

答案:1.5tabletsHowmanybasicfunctionsdoesahospitalhave?()

答案:NineApatientisisolatedforpulmonarytuberculosis.Thenursenotesthatthepatientseemstobeangry,butheknowsthatthisisanormalresponsetoisolation.Whichisthebestintervention?（）

答案:Explainthereasonsforisolationproceduresandprovidemeaningfulstimulation.HowsoonwillanursewhoisexposedtoHIVreceivethetreatmentofprotectivemedicine?()

答案:In4hoursTherearemorecoldreceptorsthanheatreceptorsintheskin.()

答案:TrueYourpatientstates,“IhavediarrheaandcrampingeverytimeIhaveicecreamormilk.”Basedonthisassessmentdata,whichhealthproblemdoyoususpectthepatienthave?()

答案:LactoseintoleranceDoctor’sOrder:Demerol50mgIVPq6hrprnpain;Available:Demerol75mg/1.3mL.HowmanymLwillyouadminister?()

答案:0.87mlAninfusionratethatistooslowoverloadsthepatientwithIVfluid,causingfluidandelectrolyteimbalancesandcardiaccomplicationsinvulnerablepatients.()

答案:FalseWhichofthefollowingisnotincludedintherapeuticeffectofheattherapy?()

答案:ReducingbodytemperatureThefundamentalprinciplebehindhand-washingisremovingmicro-organismsmechanicallyfromthehandsandrinsingwithwater.（）

答案:TrueAnormalpulsepressurerangeforanadultclientis30to50mmHg.()

答案:TrueThebodyismoresensitivetoheatthancold.()

答案:FalseFatsarethemostcalorie-densenutrient.()

答案:TrueApatientisreceivingbothparenteralnutrition(PN)andenteralnutrition(EN).Whenwouldthenursecollaboratewiththehealthcareprovidertorequestdiscontinuingparentalnutrition?（）

答案:When75%ofthepatient’snutritionalneedsaremetbythetubefeedingsThemainreasonforinappropriateuseofheattherapyinpatientswithunknownacuteabdomenis()

答案:CoverupthecauseoftheacuteabdomenAtypeofhealthcarefacilitythatprovidesintermediatemedical,nursingorcustodialcareforpatientsrecoveringfromacuteillnessorthosewithchronicillnessordisabilitiesis:()

答案:ExtendedcarefacilitiesDryskinisbesttreatedwithmoisturizinglotionappliedwhentheskinisdriedafterbathing.()

答案:FalseA38-yearoldpatient’svitalsignsat8a.m.areaxillarytemperature99.6F(37.6C);pulserate,88bpm;respiratoryrate,30bpm,BP,130/92mmHg.Whichfindingsshouldbereported?()

答案:Temperatureandrespiratoryrate.Nutrientsolutionsprovidesufficientcaloriestopromotewoundhealingandweightgain.()

答案:FalseWhenanIVcatheterbecomesdislodgedoraveinrupturesandIVfluidsinadvertentlyentersubcutaneoustissuearoundthevenipuncturesite,theconditioniscalled:()

答案:InfiltrationHypertonicsolutionshaveaneffectiveosmolalitygreaterthanbodyfluids.Examplesofhypertonicsolutionsare:()

答案:Dextrose5%inLactatedRinger’s;Dextrose5%in0.9%SodiumChloride;Dextrose10%inWaterorD10WThemostdangerousmethodforadministeringIVmedicationsisthroughpiggybackinfusion.()

答案:FalseAbloodproductthatprovidesclottingfactorsanddoesnotneedtobetypedorcross-matchedis:()

答案:FreshfrozenplasmaApatienthasjustreceived30mgofcodeinebymouthforpain.Fiveminuteslaterhevomits.Whatshouldthenursedofirst?()

答案:Examinetheemesis.Anowordersignifiesthatasingledoseofamedicationistobegivenimmediatelyandonlyonce.()

答案:FalseTheIMrouteprovidesslowermedicationabsorptionthanthesubcutaneousroute.()

答案:FalseSublingualnitroglycerin(Nitrostat)hasanonsetof1to3minutes.Beforeandaftereachdoseofsublingualnitroglycerin,thenurseshouldassesswhichofthefollowing:()

答案:Locationandseverityofpain.;Bloodpressure.;Heartrate.Anurseaccidentalygivesapatientthemedicationsthatwereorderedforthepatient’sroommate.Whatisthenurse’sfirstpriority?（）

答案:AssessthepatientforadverseeffectsAnursingstudentisadministeringAmpicillinPO.Theexpirationdateonthemedicationwrapperwasyesterday.Whatisthenextappropriateactionforthenursingstudent?()

答案:Returnthemedicationtopharmacyandgetanothertablet.Thebestsubcutaneousinjectionsiteinclude:（）

答案:Theabdomenfrombelowthecostalmarginstotheiliaccrest;Theanterioraspectsofthethighs;TheouterposterioraspectoftheupperarmsThesixrightsofmedicationadministrationis:()

答案:Allabove.Whenassessingapatient’sfirstvoidedurineoftheday,whichfindingshouldbereportedtothehealthcareprovider?

答案:LightpinkurineEarly-morningurinemaybecloudybecauseofurineheldinthebladderovernight.()

答案:TrueWhatbestdescribesmeasurementofpostvoidresidual?（）

答案:Performabladderscanonthepatientimmediatelyaftervoiding.Anambulatoryelderlywomanwithdementiaisincontinentofurine.Shehaspoorshort-termmemoryandhasnotbeenseentoiletingindependently.Whatisthebestnursinginterventionforthispatient?()

答案:StartascheduledtoiletingprogramApatientdidnothavebowelmovementfor4days.Nowshehasnauseaandexperienceseverecrampingthroughoutherabdomen.Onthebasisofthesefindings,whatdoyoususpectiswrongwiththepatient?()

答案:AnintestinalobstructionApatientwhoisreceivingparenteralnutrition(PN)throughacentralvenouscatheter(CVC)hasanairembolus.Whatwouldthenursedofirst?（）

答案:HavethepatientperformaValsalvamaneuverThenurseiscaringforapatientwithdysphagiaandisfeedingherpureedchickendietwhenshebeginstochoke.Whatistheprioritynursingintervention?（）

答案:StopfeedingherandplaceonNPOThenurseiscaringforapatientwithpneumoniawhohasseveremalnutrition.Thenurserecognizesthat,becauseofthenutritionalstatus,thepatientisatincreasedriskfor:（）

答案:Sepsis;Pleuraleffusion;CardiacarrhythmiasWhatisthemainsourceofenergyinthediet?（）

答案:CarbohydrateThenurseevaluateswhichlaboratoryfindingtoassessapatient’spotentialforwoundhealing?（）

答案:NitrogenbalancePatientismale,14yearsold,accidentallysprainedhisankleduringbasketballmatchandwenttotheschoolclinictoseeadoctoronehourlater.Thecorrecttreatmentatthatmomentis()

答案:ColdtherapyColdtherapycanrelievepain.Whatisthemechanism?（）

答案:DecreasesperipheralnervesensitivityWhatisthemechanismoficecaptreatmentforbrainedema?()

答案:ReducebraintissuemetabolismWhichofthefollowingbodypartsisnotincludedinthecontraindicationsforcoldtherapy?()

答案:ArmpitPatientismale,32yearsold,cametothehospitalfortreatmentduetoabdominalpain,pallorandcoldsweat.Beforeadefinitediagnosiswasmade,thenursingactionthatthenurseshouldnottakeis()

答案:HotwaterbagforpainreliefWhichofthefollowinginstructionsiscrucialforthenursetogivetobothfamilymembersandthepatientwhoisabouttobestartedonapatientcontrolledanalgesia(PCA)ofmorphine?()

答案:Donotpushthebuttontogotosleep.;Onlythepatientshouldpushthebutton.;ThePCAsystemcansetlimitstopreventoverdosesfromoccurring.Whatkindoflyingpositionshouldthepatientuseforanalandrectalexamination？()

答案:Knee-chestpositionThephysicianhasorderedaplaceboforaclientwithchronicpain.Youareanewlyhirednurseandyoufeelveryuncomfortableadministeringthemedication.Whatisthefirstactionthatyoushouldtake?()

答案:Contactthechargenurseforadvice.Intravenous(IV)routeofadministrationispreferredifimmediateanalgesiaandrapidtitrationarenecessary.()

答案:TrueIncaringforayoungchildwithpain,whichassessmenttoolisthemostuseful?()

答案:Facepain-ratingscaleInapplyingtheprinciplesofpaintreatment,whatisthefirstconsideration?()

答案:Wemustbelievethepatient’sownperceptionofpain,Impairedskinintegrityisnotafrequentproblemformosthealthypeople.()

答案:TrueThelesserthedegreetowhichthefactorsofshear,frictionandmoisturearepresent,themoresusceptibletheskinwillbetodamagefrompressure.()

答案:FalseAgingcausesadiminishedinflammatoryresponse,resultinginrapidepithelializationandwoundhealing.()

答案:FalseTheskilloftreatingpressureulcerscanbedelegatedtonursingassistivepersonnel.()

答案:FalseUsingadocumentationtoolhelpslinkimplementationtooutcomes,soanevaluationoftheplanofcarefollowsobjectivecriteria.()

答案:FalseRotatingsitesduringrepeatedmeasurementsofBPandpulseoximetryincreasestheriskforskinbreakdown.（）

答案:FalseThenurseisassessingvitalsignsforapatientjustadmittedtothehospital.Ideally,andiftherearenocontraindications,howshouldthenursepositionthepatientforthisportionoftheadmissionassessment?()

答案:Sittingupright.Apatientisadmittedfordehydrationcausedbypneumoniaandshortnessofbreath.Hehasahistoryofheartdiseaseandcardiacdysrhythmias.Thenursingassistantreportshisadmittingvitalsignstothenurse.Whichmeasurementsshouldthenursereassess?

（）

答案:Respiratoryrate:28;Oxygensaturation:99%;Radialpulserate:72andirregularThenurseisassessinganelderlypostsurgicalpatientinthehome.Tobeginthephysicalexamination,thenurseshouldfirstassessthepatient’s?（）

答案:Vitalsigns.Bradypneaisrateofbreathinglessthan10breaths/min.()

答案:TrueNursesmustweargloveswhenimplementinginterventionstopatientswhoareinanyclinicalcondition.（）

答案:FalseWeneedtochoosewhichkindofmasktouseaccordingtothevariousconditionsinthehospital.（）

答案:TrueThemethodsofhandhygieneinclude（）

答案:Antiseptichandwash;Handwashing;Antiseptichandrub;SurgicalhandsepsisWhichisthefirststepthatanurseshoulddowhenshegetsasharpinjury?（）

答案:RinsethewoundwithrinsingwaterWhatarethefactorsincreasingtherisksforoccupationalinfectiontohealthcaregivers?（）

答案:Biologicalfactors;Psychosocialfactors;Chemicalfactors;PhysicalfactorsApatientwhohasbeenisolatedforClostridiumdifficile(C.difficile)asksyoutoexplainaboutwhatheshouldknowaboutthisorganism.Whatisthemostappropriateinformationtoincludeinpatientteaching?（）

答案:Everyonecomingintotheroommustbewearingagownandgloves.;Theorganismisusuallytransmittedthroughthefecal-oralroute.;Handsshouldalwaysbecleanedwithsoapandwaterversusalcohol-basedhandsanitizer.Theprimaryreasonforgowningistopreventsoilingclothesduringcontactwithapatient.()

答案:TrueApatientisdiagnosedwithmethicillin-resistantstaphylococcusaureus(MRSA)pneumonia.Whichtypeofisolationprecautionismostappropriateforthispatient?（）

答案:DropletprecautionsWhattypeofpersonalprotectiveequipmentarestaffrequiredtowearwhencaringforapediatricpatientwhoisplacedinairborneprecautionsforconfirmedchickenpox/herpeszoster?（）

答案:Disposalgown;N95respiratorymaskWhenshouldanursewearamask?()

答案:Thepatientisindropletprecautions.;Thenurseisassistingwithanaerosolizingrespiratoryproceduresuchassuctioning.Whatisasytemoffamily-centeredcarethatallowspatientstolivewithcomfort,independenceanddignitywhileeasingthepainsofterminalillnesscalled?

答案:HospicecareCharacteristicsofachronicill