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ISPN模拟试题88

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:
 
175. A client with Guillain–Barré syndrome has an order for low dose anticoagulation. Which finding best indicates that this treatment is having the desired effect on this client?
a. Client reports of paresthesias have decreased.
b. Client’s blood pressure is stable.
c. Client’s cerebrospinal fluid is clear.
d. Client is free of S&S of thromboembolism.

176. Which characteristic must an antibiotic have in order to be used in the treatment of meningitis?
a. Low protein binding in the bloodstream
b. Ability to cross the blood–brain barrier
c. Effectiveness against gram-negative organisms
d. Resistance to neurotransmitter effects

注释:
Guillain–Barré syndrome吉兰-巴雷综合征,急性感染性多发性神经根神经炎
Thromboembolism 血栓栓塞

Rationale

175. Correct answer: d.
Clients with Guillain–Barré syndrome receive low dose anticoagulation because of the risk for thromboembolism secondary to immobility. Therefore, the desired effect of the treatment is that the client remains free of thromboembolism. This is indicated by absence of the S&S of the disorder. Anticoagulation is not given for paresthesias or unstable blood pressure, neither does it affect the spinal fluid.

176. Correct answer: b.
Antibiotics must be able to cross the blood–brain barrier in order to reach the infective organisms. Not all organisms causing meningitis are gram negative and so this is not a characteristic that must apply to all antibiotics used to treat it. Low protein binding in the blood and resistance to neurotransmitter effects are irrelevant to the ability of an antibiotic to combat meningitis.

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