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ISPN考试模拟试题每日练

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:
 
1. A client with encephalitis has an order for a diuretic. Which assessment data would provide the best evidence of the drug having its desired effect related to the disease process?
a. Fever returns to normal.
b. DTRs are intact.
c. Seizure activity is absent.
d. ICP decreases.
 
2. Which assessment findings would the nurse expect when admitting a client with a diagnosis of bacterial meningitis? Mark all that apply.
a. High fever
b. Nausea and vomiting
c. Stomach cramps
d. Diarrhea
e. Nuchal rigidity
f. Photophobia
 
注释:
Encephalitis 脑炎
Meningitis 脑膜炎
Photophobia 畏光
 
Rationale
 
1. Correct answer: d.
A diuretic such as Osmitrol or Furosemide is prescribed for clients with meningitis to decrease cerebral edema. The best measure of cerebral edema is intracranial pressure (ICP).
 
2. Correct answer: all.
In addition to the S&S listed, rash, lethargy, irritability, muscular weakness, seizures and decreased level of consciousness, even coma also occurs. In infants a bulging fontanel and high-pitched moaning may also be present.

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