发国际护士信息上国际护士网 找国际护士信息上国际护士网

国际护士网 网站导航 手机版

国际护士头条

头条:

主页 > 护士证书 > ISPN > ISPN备考 > ISPN模拟试题 > ISPN模拟试题81

ISPN模拟试题81

发表日期:2017-01-13 | 来源 :国际护士网 | 作者 :www.the-nurses.com |点击数: 次 收听:
 
161.A client has had radical neck dissection and begins to hemorrhage at the incision site. The nurse should take which actions in this situation? Select all that apply.
    1. Monitor vital signs.
    2. Monitor the client's airway.
    3. Apply manual pressure over the site.
    4. Lower the head of the bed to a flat position.
    5. Call the health care provider (HCP) immediately.
      

 
162A client experiencing "skipped heart beats" is diagnosed with benign premature ventricular contractions and is placed on metoprolol tartrate (Toprol XL). The client returns to the health care provider's office 1 month later for a checkup. The nurse should implement which type of database when performing an assessment?
    1. Follow-up database
    2. Emergency database
    3. Complete health database
    4. Problem-centered database
  
161Correct Answer:1,2,3,5
If the client begins to hemorrhage from the surgical site after radical neck dissection, the nurse elevates the head of the bed to maintain airway patency and prevent aspiration. The nurse applies pressure over the bleeding site and calls the HCP immediately. The nurse also monitors the client's airway and vital signs.

162Correct Answer:1
A follow-up database is used in evaluating the status of an identified problem at regular and appropriate intervals. An emergency database is used for rapid collection of data, often compiled concurrently with lifesaving measures. A complete health database is the framework for a complete health history and full physical examination. The information thus obtained describes the current and past health state and forms a baseline against which all future changes can be measured. An episodic (problem-centered) database is used for a limited or short-term problem. It focuses mainly on one problem or one body system. 

国际护士网(www.the-nurses.com)

国际护士网微信公众号
数据统计中,请稍等!
标签: ISPN  模拟  
国际护士网专题
国际护士风采

合作机构

友情链接

关于本站| 对外合作| 有偿投稿| 转载声明| 免责声明| 联系我们| 【网站地图】| 【百度地图】| 【谷歌地图】| 【Feed地图】

Copyrights © 2015 www.the-nurses.com, All rights reserved. 豫ICP备12001925号-2

河南网络警察报警平台公共信息安全网络监察经营性网站备案信息不良信息举报中心中国文明网传播文明诚信网站
  • 合作咨询
  • 官方微博
    国际护士网官方微博
  • 官方微信
    国际护士网微信公众号