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ISPN模拟试题80

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:
 
159. When teaching a client about prevention of Legionnaires’ disease, instructions for avoiding contact with the infecting organisms should be based on which fact?
a. Legionella is found in soil.
b. Legionella is found in water.
c. Legionella is found in bird feces.
d. Legionella is found in roach debris.

160. How should an infant awaiting repair of a T/E fistula be positioned?
a. Side lying
b. Dorsal recumbent
c. Semi-Fowler’s
d. Trendelenburg

注释:
Legionnaires’ disease 军团病;退伍军人症
Trendelenburg 垂头仰卧位

Rationale

159. Correct answer: b.
Legionella bacillus is found in water; so a person can become infected by aspirating contaminated water or inhaling spray from a shower of contaminated water. Tetanus is found in soil and the organism causing histoplasmosis is found in bird feces.

160. Correct answer: c.
An infant awaiting repair of a T/E fistula should be positioned in semi-Fowler’s position to decrease the risk of stomach contents being regurgitated and entering the trachea. Side lying and dorsal recumbent positions do not contribute to the pull of gravity in preventing backflow of stomach contents into the esophagus and Trendelenburg position in which the head is lower than the body actually encourages the backflow.

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