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ISPN模拟试题72

发表日期:2017-01-12 | 来源 :国际护士网 | 作者 :www.the-nurses.com |点击数: 次 收听:
 
143. Which instruction should the nurse give to the parents of a child receiving out-client chemotherapy for acute lymphoblastic leukemia? Mark all that apply.
a. ___ Launder the child’s clothing and linens separately.
b. ___ Wear gloves when touching the child.
c. ___ Limit contact with the child to no more than 10 minutes/hour.
d. ___ Use a plastic mattress cover on the child’s bed.
e. ___ Double flush the toilet after the child uses it.
f. ___ Use disposable eating utensils for the child.

144. Which direction would be given to the parent of a child with hemophilia?
a. Administer prophylactic factor at bedtime.
b. Store factor in the refrigerator.
c. Give ibuprofen for joint pain.
d. Plan frequent rest periods throughout the day.

注释:
lymphoblastic leukemia 淋巴细胞白血病
disposable eating utensils 一次性餐具
hemophilia 血友病
ibuprofen布洛芬;异丁苯丙酸(镇痛消炎药)

Rationale

143. Correct answers: a, d, and e.
Cytotoxic chemicals are excreted for up to 48 hours after administration so precautions must be taken to protect the family from exposure. Clothing and linens need to be laundered separately; the mattress is covered with plastic to prevent it from absorbing excreted chemicals, and the toilet is double flushed after use. It is not necessary to wear gloves, limit contact to 10 minutes per hour, or use disposable dishes or other eating utensils.

144. Correct answer: b.
Factor must be stored in the refrigerator to be on hand in case of need. Prophylactic factor is given in the morning because of its short life. Ibuprofen is not given to a client with hemophilia because it is an NSAID and increases bleeding. Frequent rest periods are not needed by a child with hemophilia any more than by a child without hemophilia. The child with hemophilia needs to be protected from trauma which may start a bleed.

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