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新加坡護士考試題目解密班

 

3.       A 48-year-old woman, who does not have a family history of breast cancer, asks a nurse in the ambulatory care center whether she should have a mammogram. Which of the following responses by the nurse would be accurate?
A.      “At your age, a mammogram is recommended every one to two years.”
B.      “You do not need to begin to get mammograms until you are 50 years old.”
C.      “A mammogram is not indicated unless you have a family history of breast cancer.”
D.     “A mammogram would be necessary only if you feel a change in breast tissue.”
3.一位48歲的婦女,無乳腺癌家庭史,問移動護理中心的護士她是否需做乳房X線照片,以下哪項回答是正確的?
A.“在您的年齡,建議每1至2年做一次乳房X線照片。”
B.“50歲以前,您不需要開始做乳房X線照片。”
C.“在沒有乳腺癌家庭史的女性,不需做乳房X線照片。”
D.“只有在您感到乳腺組織有異常變化時,才需做乳房X線照片。”
3. Key: A
A screening mammography is recommended for asymptomatic women between the ages of 40 and 49 every one to two years and an annual mammogram for women 50 years of age and older.
B. Screening mammograms are recommended between the ages of 40 and 49.Women should not wait until age 50 or older.
C. Mammograms should be obtained by all women,as indicated in the above guidelines, even if there is no family history of breast cancer.
D. Mammograms should be done routinely and not just when breast tissue changes are felt.
3.答A
 A.乳腺X線攝片被推薦給無癥狀的40-49歲的婦女,每1年至2年一次。50歲以上婦女每年一次。
 B.攝片應于40-49歲開始,婦女不應等到50歲以后再做。
 C.乳房X線攝片應對于所有上述的婦女,即使無乳癌家族史。
 D.乳房X線攝片應常規進行,而不是等乳腺組織有了改變后再做。
 
8. A six-year-old child has a short arm cast placed on the right extremity. While assessing the fingers during the immediate period after casting, a nurse would report which of the following findings?
A.      Mild edema
B.      Pain on movement.
C.      Slight coolness of the cast when touched
D.     Capillary refill greater than three seconds.
8.一位6歲兒童在右手剛打完短臂石膏后,護士評估其手指功能,須報告下列哪一項表現?
  A.輕度水腫
  B.活動時疼痛
  C.觸摸石膏發現石膏有點涼
  D.毛細血管重新充盈大于3秒
8. Key: D
A.     Capillary refill greater than two seconds indicates vascular compromise or pressure from the immobilizing device.
A.      Edema is usually present after injury or surgery and is most evident in uncasted, dependent areas. Mild edema usually does not need to be reported. Excessive edema, however, may indicate constriction of vessels from an immobilizing device and should be reported.
B.      Some pain is normal after trauma or surgery but the pain should decrease when the bone is immobilized.
C.      Plaster casts set rapidly, but take several hours to dry completely and feel cool to the touch. Promoting the circulation of warm, dry air around a damp cast can enhance moisture evaporation and speed the drying process.
8.答D
    D.毛細血管充盈時間大于2秒,表明血管受固定裝置壓迫或受損。
A.水腫通常在外傷或手術后出現在未打石膏的遠端,輕度不需要報告。重度水腫表明血管受固定裝置壓迫,應報告。
B.創傷或手術后有些疼痛是正常的,當骨骼固定后,疼痛應減輕。
C.打塑料石膏快,但需幾小時干燥,觸摸石膏時感覺涼。溫暖、干燥的空氣加速濕石膏水氣蒸發和干燥的過程。
 
10. Which of the following measures should a nurse include in the care plan of a patient who has a diagnosis of bipolar disorder, manic type?
A.      Decrease environmental stimuli
B.      Involve the patient in competitive activities
C.      Limit the verbalization of feelings
D.     Foster independent decision-making.
10.下列哪一項措施應包括在雙向情感障礙、燥狂型的病人護理計劃中?
 A.減少環境刺激
 B.讓病人參加競爭性活動
 C.限制言語表達其感覺
 D.培養獨立決定能力
10.Key: A
A.     Manic patients need room to move around and furnishings that do not overstimulate them in order to decrease distractibility. Overstimulation can increase the intensity of symptoms and can lead to aggressive and intrusive behavior.
B.      Competitive games can stimulate aggression and increase psychomotor activity.
C.      Discouraging verbalization of feelings is rarely the correct intervention with a patient.
D.     Manic patients have impaired problem-solving abilities. They exhibit unwarranted optimism and poor judgement due to inaccurate interpretations of the environment.
10.答A
A.    燥狂型病人需要活動的空間,配置簡單的家具,以減少刺激他分散注意力,過度刺激會使患者癥狀增加,導致攻擊性侵入性行為。
B.     競爭性游戲會刺激引起侵入性的行為和增加精神運動活動。
C.     不鼓勵語言表達病人的感情很少是正確的干預方法。
D.    燥狂型病人解決問題的能力受損。由于對環境的錯誤理解,患者會出現盲目的樂觀主義和錯誤判斷力。
 
11. A nurse should instruct a premenopausal woman to examine her breasts according to which of the following schedules?
A.During the week prior to the onset of the monthly period
B. During every shower
C. Seven days after the menstrual period begins
D.On the same day every month
11.護士應指導絕經前婦女遵循以下哪個時間表進行自我乳腺檢查?
 A.月經前整個星期
 B.每次淋浴時
 C.月經后七天
 D.每個月的同一天
11. Key: C
 C. In premenopausal women, the best time for breast self-examination is seven days after the start of menstruation when breasts are least congested.
A.      Breast congestion is greatest during the week prior to the monthly period. It is not the best time to perform breast self-examination.
B.      Breast self-examination is performed monthly.
D.Postmenopausal women should perform breast self-examination on the same day of each month.
11.答C
   C.對于絕經前婦女,乳腺檢查最佳時期是在月經后7天,此時乳房充血程度最低。
A.乳房充血在絕經前一周最明顯,這不是自檢的最佳時機。
B.乳腺自檢應每月一次。
D.絕經后婦女應每月相同時間進行自檢。
 
15. A nurse evaluates a three-month-old, developmentally-delayed infant for manifestations of cerebral palsy. Which of the following findings would a nurse report?
A.      Exaggerated arching of the back
B.      Absence of the extrusion reflex when fed from a spoon
C.      Head circumference measurement less than the 50th percentile
D.     Slight head lag when pulled to a sitting position
15.護士評估一位3個月腦癱并生長發育遲緩的患兒,應報告以下哪項表現?
 A.角弓反張
 B.用匙喂食時,上頜反射未引出
 C.頭圍小于第50個百分點
 D.坐位時頭有點下垂
15. Key: A
A.     Increased or decreased resistance to passive movement is a sign of abnormal muscle tone. The child with cerebral palsy may exhibit opisthotonic postures (exaggerated arching of the back) and may feel stiff on handling or dressing.
B.      Other significant signs of motor dysfunction are poor sucking and feeding difficulties with persistent tongue thrust.
C.      Head circumference measurement less than the 50th percentile is a normal finding for a three-month-old infant. The National Center for Health Statistics’ growth charts use the fifth and 95th percentiles as criteria for determining which children are outside the normal limits for growth.
D.     When pulled to a sitting position, the child with cerebral palsy may extend the entire body, rigid and unbending at the hip and knee joints. This is an early sign of spasticity. Slight head lag is expected in a three-month-old infant.  
15.答A
A.     被動運動阻力增加或下降都是肌張力異常的表現,腦癱患兒會有角弓反張表現,護士在給患兒穿衣或護理時會感到肌肉強直。
B.      其他運動功能障礙的主要體征有:吸吮困難和喂養困難(舌頭持續向外伸)
C.      頭圍小于第50個百分點在3月嬰兒是正常的,美國健康統計中心的生長發育圖表應用第5至第95個百分點作標準,來判斷嬰兒是否在正常范圍。
D.     當扶于坐位時,腦癱患兒會伸直身體,髖關節和膝關節僵直,這是早期強直的表現,頭輕微下垂是3個月正常嬰兒的正常表現。
 
21. A nurse is planning a community education presentation about testicular cancer. The target group should be men aged.
A.20 to 39 years.
B.40 to 49 years.
C.50 to 64 years.
D.65 years and older.
21.護士計劃進行一個關于睪丸癌的社區教育講座,其目標人群的年齡應是:
 A.20~39歲
 B.40~49歲
 C.50~64歲
 D.65歲以上
21.Key: A
 A. Testicular tumors have a peak incidence in men aged 20 to 39 years.
 B, C and D.
   Community education should be targeted to men ages 20 to 39, since the majority of testicular tumors occur within that age group.
21.答A
 A.睪丸癌發病高峰是20-39歲男性。
 B、C和D.
社會教育應給予20-39歲男性,因為大部分男性在此年齡發病。
 
22. When teaching the caregivers of a patient who has dementia of the Alzheimer type, a nurse should stress the importance of
A.Increased stimuli
B.A predictable environment
C.Restricted activities
D.Independent decision-making
22.護士在指導一位照顧Alzheimer(阿爾茨海默氏癥)病人的護理人員時,應強調下列哪項?
A.增加刺激
B.一個可預知的環境
C.限制活動
D.獨立的決定問題的能力
22.Key: B
B. It is important to provide the Alzheimer’s patient with a predictable, unhurried and safe environment.
A.      While sensory stimulation is important, a predictable environment will help the patient to feel secure and to be as independent as possible. Too much stimulation can contribute to irritability in the patient.
C. Patients with dementia are encouraged to be as active as tolerated although their physical abilities may be affected by the disease. Safety should be a primary concern since these patients may be unaware of the risks involved with certain activities.
D.A symptom of dementia is poor judgement. Patients need guidance in the decision-making process.
22.答B
 B.給一個阿爾采默氏(Alzheimer’s)病人提供可預知的一個安靜、不匆忙、安全的環境很重要。
 A.雖然感覺的刺激很重要,可預知的環境使病人感到安全,盡可能的獨立,太多刺激會使病人激惹。
 C.應鼓勵癡呆的病人積極地可承受的體能鍛煉,雖然癡呆病人的體力受損,但仍鼓勵病人盡可能的活動。這時安全是首要的,因為病人不能在活動中察覺到危險。
 D.癡呆的癥狀之一是判斷力差,在做決定時患者需要指導。
 
26. An eight-year-old boy who has hemophilia A falls in the classroom injuring his ankle and is brought to the school nurse. Immediate first-aid actions by the nurse should include
A.Applying warm compresses
B.Dispensing ibuprofen (Pediaprofen)
C.Administering Factor VIII.
D.Immobilizing the joint.
26.8歲的A型血友病患兒在教室摔傷踝關節,被帶到學校護士那,緊急處理應包括下列哪一項?
 A.用熱敷
 B.給布洛芬
 C.給予第8因子
 D.關節制動
26.Key: D
 D. The nurse should first control bleeding by immobilizing and elevating the area.
A.      Applying warm compresses will increase bleeding. Cold compresses promote vasoconstriction.
B.      The first action by the nurse should be to control bleeding.
C.      Factor VIII replacement therapy should be instituted according to established medical protocol. The first aid priority for this patient is control of bleeding through immobilization and elevation.
26.答D
 D.護士應止血,首先制動和抬高患處來正面。
 A.熱敷會加重出血,冷敷可使血管收縮。
 B.護士的第一項反應是止血。
 C.第8因子置換治療要有醫囑,在急救時最重要的是制動和抬高患肢來止血。
 
36. During labor a woman is receiving magnesium sulfate intravenously. It is essential that a nurse have which of the following drugs available to counteract potential adverse effects?
A.        Oxytocin (Pitocin)
B.        Sodium bicarbonate
C.        Phenytoin sodium (Dilantin)
D.       Calcium gluconate
36.一位產婦在接受硫酸鎂靜脈注射時,護士該準備好下列哪種藥以對抗硫酸鎂的潛在副作用?
 A.催產素
 B.碳酸氫鈉
 C.大侖???
 D.葡萄糖酸鈣
36.Key: D
 D. Calcium is the specific antidote for magnesium toxicity. Calcium gluconate solution should be kept ready nearby for immediate intravenous administration.
A.      Pitocin will not counteract the effects of magnesium sulfate.
B.      Sodium bicarbonate is not an antidote for magnesium sulfate.
C.      Dilantin is not the drug of choice for prevention of seizures during labor. Magnesium sulfate would be used first, then other anticonvulsants as ordered.
36.答D
D.     鈣是鎂中毒的拮抗劑,葡萄糖酸鈣應準備好以防需要立刻靜脈給藥。
 A.催產素不能對抗硫酸鎂的作用。
 B.碳酸氫鈉不是硫酸鎂的拮抗劑。
 D.大侖丁不是產時抗驚厥的預防用藥,硫酸鎂是首選,再按醫囑使用其他抗驚厥藥物。
 
37. Prior to assisting with electroconvulsive therapy, the nurse notices the signature of the patient’s significant other on the consent form. Which of the following actions should the nurse take first?
A.      Check to verify the legal guardianship for this patient.
B.      Ask the patient to explain why the form doesn’t have the patient’s own signature.
C.      Proceed with the treatment.
D.     Call a third party to witness the signature.
37. 電休克治療前,護士發現病人的合同上簽是別人的名字。護士應該采取以下哪一項措施?
A.   檢查確定病人的法定監護關系
B.    問病人為什么不是簽自己的名字。
C.   繼續進行治療。
D.   要另外的成員目睹簽名。
37.Kay: A
A.      In the case of an incompetent patient, consent must be obtained from the guardian. The nurse should determine if the signature is that of the guardian and if the patient is incompetent. As a client advocate, the nurse monitors treatment planning and delivery of service for abuse of patient rights.
B.      If the patient is psychotic, this would not be an appropriate action. The patient may not have insight into why the guardian has signed the consent. The first action should be to verify the signature of the guardian.
C.      The treatment should not be carried out until the signature is verified and the patient is deemed incompetent to sign the consent.
D.     A third party cannot witness a signature after the fact. The signature would have to be witnessed at the time of signing.
37.A
 A.對于無行為能力的患者,必須é獲得監護人的許可,如果病人屬于無行為能力者,護士需要確定簽名是否為監護人的簽名。作為病人的保護人,有護士監督治療計劃和實施服務,可以避免病人的權利受損害。
 B.如果是精神病患者,這不是合適的行為,病人不會理解監護人為什么會簽字同意治療,第一反應是必須確定是監護人的簽字。
 C.治療必須在簽字被證實后,而且此病人的確是無能力者。
 D.第3方不能在事后目睹證明簽字,必須在簽名時證實。
 
41.Which of the following findings would lead a nurse to suspect that the ventriculoperitoneal shunt of a seven-year-old child is obstructed?
A.      Frequent complaints of tinnitus
B.      Falling asleep daily in school for the past five days
C.      Occasional complaints of abdominal pain
D.     The presence of fever for the past three days
41.以下哪項發現會使護士懷疑一位7歲的兒童腦室腹膜腔分流有梗阻?
 A.經常抱怨耳鳴
 B.在過去5天里,白天上學時睡覺
 C.偶爾出現腹痛
 D.在過去3天內出現發熱
41.Key: B
B.      The child with a shunt obstruction often presents as an emergency with clinical manifestation of increased intracranial pressure. In older children, who are usually admitted to the hospital for elective or emergency shunt revision, the most valuable indicators of increasing intracranial pressure is an alteration in the child’s level of consciousness and interaction with the environment. Changes are identified by observing and comparing present behavior with customary behavior, sleep patterns, developmental capabilities and habits obtained through a detailed history and a baseline assessment. This baseline information serves as a guide for postoperative assessment and evaluation of shunt function.
A.      Tinnitus is not related to ventriculoperitoneal shunt obstruction. Tinnitus is a noise in the ears such as ringing, buzzing or roaring, which at times may be heard by others than the patient. Common causes include prolonged exposure to loud environmental noise. and such pathological conditions as inflammation and infection of the ear, otoscelerosis, Ménière’s disease and labyrinthitis. Systemic disorders associated with tinnitus include hypertension, neurologic disorders, hyperthyroidism and hypothyroidism. Tinnitus is often one of the first symptoms produced by an ototoxic drug.
 C. There is no documentation to support the complaint of abdominal pain in relation to venticuloperitoneal shunt obstruction.
 D. Signs of shunt infection, rather than blockage, include elevated temperature, poor feeding, vomiting, decreased responsiveness and seizure activity.
41.答B
 B.分流梗阻的患兒多表現為急性顱壓升高,在大一點的小孩,通常被收入院行擇期或急診分流手術,最有價值顱內壓升高的表現是:意識水平和對環境的反應改變,通過詳細的病史和基礎的信息比較現在與以往的行為變化,睡眠的方式,發育能力和習慣來發現這些改變。這些基礎信息作為手術后評估和評價分流的功能。
A.耳鳴與分流梗阻無關,耳鳴是一個聲音在耳朵里如鈴、翁和吼叫,有時別人可能比這種病患者聽到更多的聲音,其主要原因為暴露在高噪音時間太長, 病理情況為炎癥、感染、耳硬化、美尼爾病、內耳炎,與耳鳴有關的全身癥狀包括:高血壓、神經系統疾病、甲亢和甲低。耳鳴多為耳毒性藥物的最初癥狀。
 C.沒任何證據表明腹痛與腦室腹膜腔分流阻塞有關
 D.分流的感染癥狀包括:體溫升高,喂養困難、嘔吐、反應性降低和驚厥,而不是梗阻。
 
43.Following a left modified radial mastectomy, which of the following nursing measure should be implemented to prevent complications in the affected arm?
A.      Using sequential compression devices on the arm.
B.      Applying warm soaks to the arm
C.      Immobilizing the arm with an armboard
D.     Elevating the arm on the pillows
43.在左側改良乳腺癌根治術后,可采用下列哪種護理措施來預防患側手臂的并發癥?
A.在患側手臂使用連續的加壓裝置
B.用暖水浸泡患側手臂
C.用手夾板固定患肢
D.用兩個枕頭抬高患肢
43.Key: D
 D. Positioning will help to promote venous lymphatic drainage. The affected arm is elevated to promote fluid drainage via the lymphatic and venous pathways.
 A.B and C.
Elevation of the arm so that it is level with or above the heart, diuretics and isometric exercises may be recommended to reduce fluid volume in the arm. The patient may need to wear an elastic pressure gradient sleeve during waking hours to maintain volume reduction, but the initial action by the nurse would be elevating the arm.
43.答D
D.體位有助于靜脈淋巴回流,抬高患肢有助于水分從淋巴和靜脈回流。
 A.B和C
將患肢抬高到相當于或高于心臟水平,利尿劑和等長運動也可以減少上肢液體量。在醒著時,病人可以穿彈力套袖以保持液體量減少,但護士的首要行為是抬高患肢。
 
52. Which of the following clinical manifestations should a nurse expect to identify when assessing a patient who has a diagnosis of acute prostatitis?
A.      Penile lesion
B.      Bowel incontinence
C.      Cloudy urine
D.     Abdominal pain
52.當評估一位患急性前列腺炎病者時,護士應發現下列哪一項臨床表現?
 A.陰莖損傷
 B.大便失禁
 C.尿液混濁
 D.腹痛
52.Key: C
 C. Manifestations of prostatitis include fever, chills, dysuria, urethral discharge, frequency, cloudy foul-smelling urine, back pain and swelling of the prostate.
 A. B and D.
Penile lesions, bowel incontinence and abdominal pain are not clinical manifestations of acute prostatitis.
52.答C
 C.前列腺炎的表現包括發熱、寒戰、排尿困難、尿道分泌物,尿頻、混濁、發臭的尿液,背痛和前列腺腫脹。
 A.B和D.陰莖損傷,大便失禁,尿液混濁都不是急性前列腺炎的表現。
 
54. The mother of a child who has recently had myringotomy tubes inserted bilaterally calls the ambulatory surgery center and tells a nurse, “My child has a large amount of clear yellow drainage coming from both ears.’’ Which of the following responses by the nurse is most appropriate?
A.      “Your child may have developed an ear infection.’’
B.      “Water may have gotten into your child’s ears during bathtime.’’
C.      “The tubes may already be working their way out.”
D.     “This indicates that the tubes are working normally.’’
54.一位雙側鼓膜切開術后并留置引流管的患兒母親打電話給移動手術中心,告訴護士說:“我小孩兩側耳朵流出大量黃色透明的液體。”下列哪一項護士的回答是最恰當的?
 A.“你孩子可能發展成耳部感染。”
 B.“可能是洗澡時耳朵進水了。”
 C.“引流管可能已經掉出來了。”
 D.“這表明引流管在發揮正常的功能。”
54.Key: D
 D. Many children with recurrent ear infections will benefit from myringotomy and tympanostomy tube placement. The tubes facilitate continued drainage of fluid and allow ventilation of the middle ear. This therapy allows for mechanical drainage of the fluid, which will promote better healing of the membrane while preventing scar formation and loss of elasticity.
A.      Preventing recurrence of otitis media requires adequate parent education regarding antibiotic therapy. Because the symptoms of pain and fever usually subside within 24 to 48 hours, nurses must emphasize that although the child may appear well in a couple of days, the infection is not completely eradicated until all of the prescribed medication is taken.
B.      Tympanostomy tubes may allow water to enter the middle ear. Several studies show that small amounts of water pose little hazard and that even swimming without ear plugs or occlusive bathing caps carries no risk of infection.
C.      Parents should be aware of the appearance of the grommet (usually a tiny, white plastic spool-shaped tube) so that they can recognize the tube if it falls out. This is normal and requires no immediate intervention.
54.答D
 D.反復耳部感染的患兒受益于鼓膜切開加引流管留置術,引流管有利于持久引流和中耳通風。這種治療是機械性引流,有助于預防鼓膜結痂、喪失彈性,從而促進愈合。
 A.預防中耳炎復發,需要教育家長抗生素的使用,因為疼痛與發熱的癥狀會在24-48小時后消失,護士必須強調雖然患兒在幾天內感到正常,但感染并沒有完全消除,直到全部已開的抗生素用完。
 B.鼓膜切開留置管可能使水進入中耳,一些研究表明少量水流入產生的危害很小,即使游泳時不用耳塞,洗澡時不戴浴帽,都沒有感染的危險。
 C.家長應該知道鼓膜通氣管的外表(通常是小的,白的塑料、纏繞的管子),這樣當管子掉出來時,父母可以認出。管子掉出是正常的,不需要馬上處理。
 
56. Which of the following findings in a pregnant women’s history would identify a need for the woman to receive Rho (D) immune globulin (RhoGAM) at 28 weeks of pregnancy?
A.      Rh negative, Coombs positive
B.      Rh negative, Coombs negative
C.      Rh positive, Coombs negative
D.     Rh positive, Coombs positive
56.下列哪一項孕婦的病史表明她需在孕28周時接受Rho(D)人體免疫球蛋白(RhoGAM)。
 A.Rh陰性,Coombs試驗陽性
 B.Rh陰性,Coombs試驗陰性
 C.Rh陽性,Coombs試驗陰性
 D.Rh陽性,Coombs試驗陽性
56.Key: B
B. Rh immune globulin is administered prenatally at 28 weeks to 30 weeks gestation to all Rh negative, antibody (Coombs) negative women. It also is given earlier in gestation after invasive procedures. This immunization prevents the mother’s sensitization to the Rh factor and prevents hemolytic disease of the newborn.
A. The drug is not given to this mother, even though she is Rh negative, because the Coombs (antibody) test is positive.
C.C and D
 These mothers are not candidates for the drug due to an Rh positive status. Regardless of the status of the Coombs test.
56.答B
 B.Rh免疫球蛋白應用于所有28周到30周Rh陰性,Coombs試驗陰性孕婦,在侵入性檢查后,可更早應用。這種免疫預防母親的Rh致敏及新生兒溶血病。
 A.即使Rh陰性,但Coombs試驗陰性,故不用藥。
 C.C和D
 不管Coombs試驗結果如何,Rh陽性的母親不用Rh免疫球蛋白。
 
65. A child is being discharged from the emergency department with a diagnosis of acute glomerulonephritis. Which of the following measures would a nurse include in the home care plan?
A.      Restrict fluid intake
B.      Weigh daily
C.      Maintain strict bedrest
D.     Limit visitors
65.一位患急性腎小球腎炎患兒從急救中心出院,其家庭護理計劃應包括下列哪一項?
 A.限制水的攝入
 B.每日稱體重
 C.絕對臥床休息
 D.限制來訪者
65.Key: B
B. There is no specific treatment available for acute glomerulonephritis, but recovery is spontaneous and uneventful in most cases. Management consists of general supportive measures, and early recognition and treatment of complications. Children who have normal blood pressure readings and satisfactory urine output can generally be treated at home. A record of daily weight is the most useful means of assessing fluid balance.
A. Water restriction is seldom necessary unless the output is significantly reduced.
C. Bedrest may be recommended during the acute phase but ambulation does not appear to have an adverse effect.
D. Acute glomerulonephritis is a post-streptococcal complication and therefore, the patient is no longer contagious. Visitors do not have to be limited.
65.答B
 B.急性腎小球腎炎沒有特殊的治療方案,多可自愈,治療包括一般支持療法,早期發現并治療合并癥,血壓正常、尿量好的患兒,可以在家中治療合并癥。每日測體重是最有效的監測體液量平衡的方法。
 A.不需限水,除非尿量有明顯減少。
 C.急性期可能需臥床,但是移動并沒有不良作用。
 D.急性腎小球炎是急性鏈球菌感染后,合并癥病人沒有傳染性,不必限制探視。
 
66. Which of the following actions should a nurse take when making the first contact with a paranoid patient?
A.      Introduce self and avoid touching the patient
B.      Avoid eye contact and shake hands with the patient.
C.      Close the door to the interview room and remain standing
D.     Wait for the patient to initiate communication
66.在第一次接觸偏執癥患者時,護士應采取下列哪一項行為:
 A.介紹自己,避免觸摸患者
 B.避免目光交流和握手
 C.關上門并保持站立姿勢
 D.等病人先開始交流
66.Key: A
A.      The paranoid patient is highly suspicious and believes that people are out to get him or her. The best approach when meeting the paranoid patient is to matter-of–factly introduce yourself and avoid touching the patient.
B.      The nurse should not attempt to shake hands with the paranoid patient since this may be interpreted as attempting to inflict harm. Avoiding eye contact may make the paranoid patient even more suspicious.
C.      The nurse should always keep the door open and should stand between the patient and the door when interacting in a room with a patient.
D.     The patient may never initiate communication. The nurse should attempt communication for short periods of time, as tolerated by the patient.
66.答A
A.     燥狂病人高度懷疑和相信人們會害他們,最好接近燥狂病人的方法是按實際介紹自己,避免接觸病人。
B.     護士不應該嘗試與燥狂病人握手,因為他們認為這是嘗試傷害他們,避免眼睛的接觸,更會使燥狂病人懷疑。
C.     護士應該保持開門,當和病人接觸時,應站在病人與門之間。
D.    病人從來不會開始交流,護士應該嘗試短的病人能夠忍受的時間與病人交流。

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