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

护理名人堂

国际护士头条

头条:

中国护士网淘宝店铺

《Kaplan NCLEX-RN Question Trainer Test-1》(938-940)

发表日期:2016-12-17 | 来源 :国际护士网 | 作者 :www.the-nurses.com |点击数: 次 收听:
 
938. An 8-year-old boy falls off the swings at school and hits his head. He is examined by a physician at an urgent care center, diagnosed with a minor head injury, and sent home. Which of the following statements, if made by the mother to the nurse, would require further teaching by the nurse?

1. “He should avoid blowing his nose or cleaning his ears for two days.”
2. “I should wake him every 3 hours tonight and tomorrow night to check him.”
3. “I can give him Tylenol every 4 hours if he complains of a headache.”
4. “He will be well enough to play in his soccer game tomorrow.”

Strategy: “Further teaching” indicates an incorrect response.

(1) prevents increased pressure on area
(2) should check level of consciousness and orientation every 3–4 hours
(3) avoid use of sedatives, sleeping pills, alcohol with head injuries
(4) correct—no strenuous activity for 48 hours
  

939. A 56-year-old woman is receiving digoxin (Lanoxin) 0.25 mg PO qd and furosemide (Lasix) 40 mg PO bid. She calls her physician for complaints of mild diarrhea. The physician prescribes Kaopectate 60 mg after each bowel movement for 2 days and instructs her to call back if symptoms don’t subside. The woman asks the office nurse if she should make any changes in her medication schedule. The nurse should instruct the woman to

1. make no changes in her medication schedule.
2. wait 1 hour before taking her scheduled medications if she takes the Kaopectate.
3. hold her scheduled medications until the diarrhea subsides.
4. take the Lanoxin but hold the Lasix if she takes the Kaopectate.

Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired?

(1) PO meds would be absorbed by Kaopectate not by stomach
(2) correct—Kaopectate absorbs PO meds, separate administration of other meds
(3) other meds should be given later
(4) both meds should be given later

940. A 47-year-old woman comes to the outpatient psychiatric clinic for treatment of a fear of heights. Which of the following is the best plan of care that would meet the needs of this client INITIALLY?

1. Point out to the client the secondary gain that results from her behavior.
2. Demonstrate to the client the irrational nature of these fears.
3. Encourage the client to rely on significant others for support.
4. Allow the client to avoid the situations that are anxiety provoking.

Strategy: Answers are implementations. Determine the outcome of each answer choice. Is it
desired?


(1) secondary gain (attention and assistance received) is not the motivation of a phobic patient, remain nonjudgmental
(2) ineffective in relieving behavior, may increase anxiety and feelings of guilt
(3) should encourage patient to remain independent
(4) correct—phobia is fixed channel for discharge of tension from unconscious conflict
  

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:
国际护士网专题

大家都在看

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

  • 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