今天是【点名时间】与你第10次见面。

　　在开始之前，小编想先确定一件事：前9次的习题，都没有难度吧?

　　据说，养成一个习惯只要坚持21天，现在我们迎来成功一半的曙光了!

　　好吧，马上要开始了，你准备好了吗?

　　46. For nasopharyngeal airway suctioning of a conscious patient with a functional gag reflex. the nurse should place the patient's head in which of the following positions?

　　A. Neck hyperextended.

　　B. Chin to chest.

　　C. Face toward right shoulder.

　　D. Face toward left shoulder.

　　47. To which of the following nursing diagnoses would a nurse give priority when caring for a patient who is not eating or bathing and refuses to leave the house since the death of her daughter a year ago?

　　A. Anxiety related to fear of death.

　　B. Self-care deficit related to loss.

　　C. Anticipatory grieving related to fear of social interaction.

　　D. Dysfunctional grieving related to loss.

　　48. A 48-year-old patient who has an IV infusing an epidural drip, and a chest tube attached to wall suction needs to have a bowed movement but does not want to use the bedpan. Whitch of the following actions by the nurse would be most appropriate?

　　A. Offer the patient a bedside commode.

　　B. Insist that the patient use the bedpan.

　　C. Assist the patient to the bathroom.

　　D. Obtain an order to disconnect the wall suction.

　　49. Which of the following observations of a postoperative patient should indicate to the nurse that the patient is experiencing a low pain level?

　　A. The patient asked for pain medication five minutes ago but is now asleep.

　　B. The patient states her pain is at level two on a 10-point scale.

　　C. The patient states that her pain is at level 10 on a 10-point scale.

　　D. The patient is lying very still in bed.

　　50. While orienting a new nurse to the unit, the charge nurse stresses the importance of accurate documentation. The primary reason for a nurse to document care accurately is to

　　A. demonstrate responsibility and accountability.

　　B. prevent any legal action against the healthcare facility and its staff.

　　C. facilitate insurance reimbursement.

　　D. be in compliance with individual regulatory agencies.

　　昨天答案解析

　　41. Keys: D

　　Client Need, Basic Care and Comfort

　　D. Collect additional information to determine potential causes of the weight loss. Information derived from interviewing and observing the patient will guide the nurse in the application of her knowledge regarding nutrition. The nurse will need to explore the patient's dietary patterns to discover the unique reasons for the patient's eating behaviors. Assessment is the first step of the nursing process.

　　A. A nutritional assessment should be completed before recommendations are made.

　　B. The nurse needs to assess the patient's eating habits before planning calorie distribution.

　　C. The patient's plan of care should be individualized. An assessment needs to be completed prior to the institution of a care plan.

　　42. Key: B

　　Client Need: Management of Care

　　B. The surgeon most explain the procedure in terms that the patient or surrogate is able to understand. It is the surgeon who is responsible to explain the surgical procedure to the patient.

　　A. The nurse is responsible for ensuring that the patient or surrogate receives honest, fair and accurate information. The nurse may witness the patient's signature.

　　C. The admission clerk has no responsibility regarding any surgical procedure and its explanation to the patient or the patient's surrogate.

　　D. The anesthesiologist will explain the type of anesthesia that is used for the surgical procedure and obtain consent for anesthesia.

　　43. Keys: C

　　Client Need: Coping and Adaptation

　　C. Parents may have a wide range of responses to their child's illness and hospitalization. Following the diagnosis of an illness, they may react with disbelief, anger or guilt. Parents tend to search for self-blame regarding why the child became ill or to project anger at others for some wrongdoing. Fear,anxiety and frustration are common feelings expressed by parents when their child is hospitalized. The best nursing approach to parents is for the nurse to anticipate and recognize these responses and allow parents to verbalize their feelings about their child's illness and hospitalization. Helping parents identify the reasons for their feelings and emphasizing that each is normal. expected and a healthy response to stress provides them with the opportunity to lessen their emotional burden.

　　A. Anxiety and guilt are normal parental reactions to a child's hospitalization and the parents should feel free to express their feelings.

　　B. Distracting the parent's attention from their feelings about their child's hospitalization to a less painful situation is not appropriate. The parents should be encouraged to express their feelings about the current situation.

　　D. Nurses who use therapeutic communication when working with clients and their families should avoid using personal experiences. The nurse should allow the client and family members to express their feelings while actively listening in a non-judgmental manner.

　　44. Key: B

　　Client Need: Physiological Adaptation

　　B. On a continuous around-the-clock schedule. Pain seen in malignancies may require pain-relieving medications routinely. Patients experiencing pain due to cancer may require routine pain-relieving medications. Pain for cancer patients is given on a regular schedule to prevent exacerbations.

　　A. Management of cancer pain is in contrast to medications being taken at the time of pain or prn.

　　C. and D.

　　Predictable and chronic pain is managed more effectively if the patient maintains a therapeutic blood level of analgesia.

　　45. Key: A

　　Client Need: Basic Care and Comfort

　　A. Excess intake of fluids, especially coffee or alcohol, before bedtime is a cause or associated factor of nocturia. Nocturia is excessive urination at night.

　　B. While the nightlight would address safety concerns, the decrease in fluids prior to bedtime would more effectively control the nocturia.

　　C. Disposable undergarments may interfere with the patient's self-concept. No soilage of clothing is noted.

　　D. There is no report that the patient is having difficulty getting to the bathroom. A report of nocturia does not necessitate a patient having problems with mobility.

　　责任编辑：杨璐

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