雨课堂学堂在线学堂云《Fundamentals of Nursing（汕头大学 ）》单元测试考核答案

注：不含主观题第1题单选题(1分)Aregisterednurseisinterestedinfunctioningasahealthcareadvocateforindividualswhoselivesareaffectedbyviolence.Thisnursewillbeinvestigatingwhichexpandedcareerrole?()AClinicalnursespecialistBForensicnurseCNursepractitionerDNurseeducator第2题单选题(1分)Anursewith2to3yearsofexperiencewhohastheabilitytocoordinatemultiplecomplexnursingcaredemandsisatwhichstageofBenner’sstagesofnursingexpertise?()AAdvancedbeginnerBCompetentCProficientDExpert第3题单选题(1分)Whichofthefollowingsocialforcesismostlikelytosignificantlyimpactthefuturesupplyanddemandfornurses?()AAgingBEconomicsCScience/technologyDTelecommunications第4题单选题(1分)Whichprofessionalorganizationdevelopedacodefornursingstudents?()AANABNLNCAACNDNSNA第5题单选题(1分)Healthpromotionisbestrepresentedbywhichactivity?()AAdministeringimmunizationsBGivingabathCPreventingaccidentsinthehomeDPerformingdiagnosticprocedures第6题多选题(2分)WhichofthefollowingaretheNursingFunctions?Selectall.AthepromotionofhealthBthepreventionofillnessCthecareofill,disabledanddyingpeopleDpromotionofasafeenvironment,research,participationinshapinghealthpolicy

正确答案：ABCD第7题多选题(2分)Thereweremanyfactorshadinfluencednursingdevelopmentinthehistory,selectallimportantfactorsinthefollowing.AWomenBWarsCReligionsDSoldiers

正确答案：ABC第8题单选题(1分)Whichschoolsetupthefirstmaster’snursingprograminChina?ATianjinMedicalCollegeBBeijingMedicalUniversityCCentralSouthUniversityDTheSecondMilitaryMedicalUniversity第9题单选题(1分)Whichofthefollowingisthenon-profitregisteredacademicandcommonwealcorporatebodyinChina?AICNBCANCCNIDCNA第10题单选题(1分)WhichwomenmadesignificantcontributionstothenursingcareofsoldiersduringtheCrimeanWar?AFlorenceNightingaleBHarrietTubmanCFabiolaDSojournerTruthChapter2第1题单选题(1分)Whichreasoningprocessdescribesthenurse’sactionswhenthenurseevaluatespossiblesolutionsforcareofaninfectedwoundforoptimalclientoutcomes?()AIntuitionBResearchprocessCTrialanderrorDProblemsolving第2题单选题(1分)Whenthenurseconsidersthataclientisfromadevelopingcountryandmayhaveapositivetuberculosistestduetoapriorvaccination,whichcriticalthinkingattitudeandskillisthenursepracticing?()ACreatingenvironmentsthatsupportcriticalthinkingBToleratingdissonanceandambiguityCSelf-assessmentDSeekingsituationswheregoodthinkingispracticed第3题单选题(1分)Thenurseisconcernedaboutaclientwhobeginstobreatheveryrapidly.Whichactionbythenursereflectscriticalthinking?()ANotifytheprimarycareprovider.BObtainvitalsignsandoxygensaturation.CRequestachestx-ray.DCalltherapidresponseteam.第4题单选题(1分)Inthedecision-makingprocess,thenursesetsandweightsthecriteria,examinesalternatives,andperformswhichofthefollowingbeforeimplementingtheplan?()AReexaminesthepurposeformakingthedecisionBConsults

theclientandfamilymemberstodetermine

their

viewofthecriteriaCIdentifies

andconsidersvariousmeansforreachingthe

outcomesDDetermines

thelogicalcourseofactionshould

intervening

problemsarise第5题单选题(1分)Theclientwhoisshortofbreathbenefitsfromtheheadofthebedbeingelevated.Becausethispositioncanresultinskinbreakdowninthesacralarea,thenursedecidestostudytheamountofsacralpressureoccurringinotherpositions.Thisdecisionisanexampleof()ATheresearchmethod.BThetrial-and-errormethod.CIntuition.DThenursingprocess.第6题单选题(1分)Amajorcharacteristicofthenursingprocessiswhichofthefollowing?()AAfocusonclientneedsBItsstaticnatureCAnemphasisonphysiologyandillnessDItsexclusiveusebyandwithnurses第7题单选题(1分)Inthevalidatingactivityoftheassessingphaseofthenursingprocess,thenurseperformswhichofthefollowing?()ACollectssubjectivedataBAppliesaframeworktothecollecteddataCConfirmsdataiscompleteandaccurateDRecordsdataintheclientrecord第8题单选题(1分)Whichofthefollowingisthepurposeofassessing?()AEstablishadatabaseofclientresponsestohisorherhealthstatus.BIdentifyclientstrengthsandproblems.CDevelopanindividualizedplanofcare.DImplementcare,preventillness,andpromotewellness.第9题单选题(1分)Whichofthefollowingbehaviorswouldindicatethatthenursewasutilizingtheassessmentphaseofthenursingprocesstoprovidenursingcare?()AProposeshypothesesBGeneratesdesiredoutcomesCReviewsresultsoflaboratorytestsDDocumentscare第10题单选题(1分)Whichofthefollowingbehaviorsismostrepresentativeofthenursingdiagnosisphaseofthenursingprocess?()AIdentifyingmajorproblemsorneedsBOrganizingdataintheclient’sfamilyhistoryCEstablishingshort-termandlong-termgoalsDAdministeringanantibiotic第11题单选题(1分)Whichofthefollowingistrueregardingthestateofthescienceinregardstonursingdiagnosis?()ATheoriginaltaxonomyhasproventobeadequateinscope.BTheorganizingframeworkofthetaxonomyisbasedontheworkofFlorenceNightingale.CMoreresearchisneededtovalidateandrefinethediagnosticlabels.DNewdiagnosticlabelsareapprovedbymeansofavoteofregisterednurses.第12题单选题(1分)Inthecaseinwhichaclientisvulnerabletodevelopingahealthproblem,thenursechooseswhichtypeofnursingdiagnosisstatus?AArisknursingdiagnosisBAwellnessnursingdiagnosisChealthpromotionnursingdiagnosis

DAnactualnursingdiagnosis第13题单选题(1分)Oneoftheprimaryadvantagesofusingathree-partdiagnosticstatementsuchastheproblem–etiology–signs/symptoms()formatincludeswhichofthefollowing?()ADecreasesthecostofhealthcareBImprovescommunicationbetweennurseandclientCHelpsthenursefocusonhealthandwellnesselementsDStandardizesorganizationofclientdata第14题单选题(1分)Whichofthefollowingnursingdiagnosescontainsthepropercomponents?()ARiskforCaregiverRoleStrainrelatedtounpredictableillnesscourseBRiskforFallsrelatedtotendencytocollapsewhenhavingdifficultybreathingCImpairedCommunicationrelatedtostrokeDSleepDeprivationsecondarytofatigueandanoisyenvironment第15题单选题(1分)Inthediagnosticstatement“ExcessFluidVolumerelatedtodecreasedvenousreturnasmanifestedbylowerextremityedema(),”theetiologyoftheproblemiswhichofthefollowing?()AExcessfluidvolumeBDecreasedvenousreturnCEdemaDUnknown第16题单选题(1分)ThenurseselectsthenursingdiagnosisofRiskforImpairedSkinIntegrityrelatedtoimmobility,dryskin,andsurgicalincision.Whichofthefollowingrepresentsaproperlystatedoutcome/goal?Theclientwill()ATurninbedq2h.BReporttheimportanceofapplyinglotiontoskindaily.CHaveintactskinduringhospitalization.DUseapressure-reducingmattress.第17题单选题(1分)Whichofthefollowingprinciplesdoesthenurseuseinselectinginterventionsforthecareplan?()AActionsshouldaddresstheetiologyofthenursingdiagnosis.BAlwaysselectindependentinterventionswhenpossible.CThereisonebestinterventionforeachgoal/outcome.DInterventionsshouldbe“doing,”notjust“monitoring.”第18题单选题(1分)Whichofthefollowingislikelytooccurifthegoalstatementispoorlywritten?()AThereisnostandardagainstwhichtocompareoutcomes.BThenursingdiagnosescannotbeprioritized.COnlydependentnursinginterventionscanbeused.DItisdifficulttodeterminewhichnursinginterventionscanbedelegated.第19题单选题(1分)Thenurserecognizeswhichofthefollowingasabenefitofusingastandardizedcareplan?()ANoindividualizationisneeded.BThenursechoosesfromalistofinterventions.CTheyaremuchshorterthannurse-authoredcareplans.DTheyhavebeenapprovedbyaccreditingagencies.第20题单选题(1分)Theclientwithafracturedpelvisrequeststhatfamilymembersbeallowedtostayovernightinthehospitalroom.Beforedeterminingwhetherornotthisrequestcanbehonored,thenurseshouldconsultwhichofthefollowing?()AHospitalpoliciesBStandardizedcareplansCOrthopedicprotocolsDStandardsofcare第21题单选题(1分)Whichofthefollowingrepresentsapplicationofthecomponentsofevaluating?()AGoalachievementmustbewrittenaseithercompletelymetorunmet.BDatarelatedtoexpectedoutcomesmustbecollected.CIftheoutcomewasachieved,concludethattheplanwaseffective.DAfterdeterminingthattheoutcomewasnotmet,startoverwithanewnursingcareplan.第22题单选题(1分)Thecareplancallsforadministrationofamedicationplusclienteducationondietandexerciseforhighbloodpressure.Thenursefindsthebloodpressureextremelyelevated.Theclientisverydistressedwiththisfinding.Whichnursingskillofimplementingwouldbeneededmost?()ACognitiveBIntellectualCInterpersonalDPsychomotor第23题单选题(1分)Theprimarypurposeoftheevaluatingphaseofthecareplanningprocessistodeterminewhether()ADesiredoutcomeshavebeenmet.BNursingactivitieswerecarriedout.CNursingactivitieswereeffective.DClient’sconditionhaschanged.第24题单选题(1分)Underwhatcircumstancesisitconsideredacceptablepracticeforthenursetodocumentanursingactivitybeforeitiscarriedout?()AWhentheactivityisroutine(e.g.,raisingthebedrails)BWhentheactivityoccursatregularintervals(e.g.,turningtheclientinbed)CWhentheactivityistobecarriedoutimmediately(e.g.,astatmedication)DItisneveracceptable第25题单选题(1分)Wheninitiatingtheimplementationphaseofthenursingprocess,thenurseperformswhichofthefollowingphasesfirst?()ACarryingoutnursinginterventionsBDeterminingtheneedforassistanceCReassessingtheclientDDocumentinginterventionsChapter3第1题单选题(1分)Thenurseisdressedandispreparingtocareforapatientintheperioperativearea.Thenursehasscrubbedherhandsandhasdonnedasterilegownandgloves.Whichactionwouldindicateabreakinsteriletechnique?ATouchingprotectiveeyewear.BStandingwithhandsfoldedonchest.CAcceptingsterilesuppliesfromthesurgeon.DStayingwiththesteriletableonceitisopen.第2题单选题(1分)Whichofthefollowingnursingactionswouldmostincreaseapatientriskfordevelopingahealthcare

associatedinfection?AUseofsurgicalaseptictechniquetosuctionanairway.BUrinarycatheterdrainagebagplacedbelowthelevelofthebladder.CCleantechniqueforinsertingaurinarycatheter.DUseofasterilebottledsolutionmorethanoncewithina24-hourperiod.第3题单选题(1分)Theinfectioncontrolnurseisreviewingdataforthemedical-surgicalunit.Thenursenoticesaspikeinpostoperativeinfectionsonthisunitandcategorizesthistypeofhealthcare

associatedinfectionas_____infections.AIatrogenicBExogenousCEndogenousDNosocomial第4题单选题(1分)Thenurseiscaringforapatientwithleukemiaandispreparingtoprovidefluidsthroughavascularaccessdevice.Whichnursinginterventionispriorityinthisprocedure?APositionthepatientcomfortably.BMaintainaseptictechnique.CGatheravailablesupplies.DReviewtheprocedurewiththepatient.第5题单选题(1分)Thenurseisprovidinganeducationalsessionforagroupofpreschoolworkers.ThenurseremindsthegroupthatthemostimportantthingtodotopreventthespreadofinfectionistoAEncouragepreschoolchildrentoeatanutritiousdiet.BEncourageparentstoprovideamultivitamintothechildren.CCleanthetoyseveryafternoonbeforeputtingthemaway.DWashtheirhandsbetweeneachinteractionwithchildren.第6题单选题(1分)Thenurseiscaringforapatientwhohasjustdeliveredaneonate.Thenurseischeckingthepatientforexcessivevaginaldrainage.Itisimportantforthenursetoutilize_____Precautions.AContactBProtectiveCDropletDStandard

第7题单选题(1分)Thenurseiscaringforapatientwhobecomesnauseatedandvomitswithoutwarning.Thenursehascontaminatedhands.ThenursebestnextstepistoACleanhandswithwipesfromthebedsidetable.BWashhandswithanantimicrobialsoapandwater.CUseanalcohol-basedwaterlesshandgel.DInstructthepatienttowashhisfaceandhands.第8题单选题(1分)Thehomehealthnurseisteachingapatientandfamilyabouthandhygieneinthehome.ThenurseissuretoemphasizewashinghandsbeforeAAndaftershakinghands.BAndaftertreatments.COpeningtherefrigerator.DAndafterusingacomputer.第9题单选题(1分)ThenurseiscaringforapatientonContactPrecautions.Whichofthefollowingactionswouldbeappropriatetopreventthespreadofdisease?AWearagown,gloves,facemask,andgogglesforinteractionswiththepatient.BUseadedicatedbloodpressurecuffthatstaysintheroomandisusedforthatpatientonly.CPlacethepatientinaroomwithnegativeairflow.DTransportthepatientquicklywhengoingtotheradiologydepartment.第10题单选题(1分)Thenurseischanginglinensforapostoperativepatientandfeelsastickinherhand.Anonactivatedsafeneedleisnotedinthelinens.ThisscenariowouldindicatethatthenursemaybeatriskforAHepatitisB.BClostridiumdifficile.CMethicillin-resistantStaphylococcusaureus.DDiphtheria.Chapter4第1题单选题(1分)Thepatient’sbloodpressureis140/60.ThenurserealizesthatthisequatestoapulsepressureofA140.B60.C80.D200.第2题单选题(1分)Whilethenurseisassessingthepatient’srespirations,itisimportantforthepatientto()ABeawareoftheprocedurebeingdone.BNotknowthatrespirationsarebeingassessed.CUnderstandthatrespirationsareestimatedtosavetime.DNotbetoucheduntiltheentireprocessisfinished.第3题单选题(1分)Thepatientisfoundtobeunresponsiveandnotbreathing.Todeterminethepresenceofcentralbloodcirculationandcirculationofbloodtothebrain,thenursechecksthepatient’s_____pulse.ARadialBBrachialCPosteriortibialDCarotid第4题单选题(1分)Thepatientrequiresroutinetemperatureassessmentbutisconfusedandeasilyagitatedandhasahistoryofseizures.Thenurse’sbestoptionwouldbetotakehistemperature()AOrally.BTympanically.CRectally.DBytheaxillarymethod.第5题单选题(1分)Whenheatlossmechanismsofthebodyareunabletokeeppacewithexcessheatproduction,theresultisknownas()APyrexia.BTheplateauphase.CThesetpoint.DBecomingafebrile.Chapter5第1题多选题(2分)Childrenareespeciallyatriskforwhichinjuries?AaspirationBfallsCburnsDpressureulcers正确答案：ABCD第2题多选题(2分)Factorsaffectingpatientsafetyinclude:ApatientfactorBenvironmentalfactorsChealthcareproviderfactorsDtreatmentfactors正确答案：ABCD第3题多选题(2分)Whichfactorsasbelowsarepatientfactorsaffectingpatientsafety?AageanddevelopmentBalterationsinmobilityrelatedtoparalysisCsensory-perceptualchangesDImpairedawareness正确答案：ABCD第4题判断题(1分)Apersonwithdecreasedsensationmaydevelopapressureulcer.第5题判断题(1分)Theprovisionofsafeservicesisextremelyimportantonly

inprimarysettings.第6题单选题(1分)ThenursenotesthattheelectricalcordonanIVinfusionpumpiscracked.Whichactionbythenurseisbest?()AContinuetomonitorthepumptoseeifthecrackworsens.BPlacethepumpbackontheutilityroomshelf.CAsmallcrackposesnodangersocontinueusingthepump.DClearlylabelthepumpandsenditforrepair.第7题单选题(1分)A78-year-oldpatientisbeingseenintheemergencydepartment.Thenurseobserveshisgaitandbalanceappeartobeslightlyunsteady.Whatassessmentshouldthenurseperformnext?()APerformthe

Get

UpandGoTest.BAskthepatientifhehasfalleninthepastyear.CReferthepatientforacomprehensivefallevaluation.DAdministerthe

TimedUpandGoTest.第8题单选题(1分)Physiologicalchangesassociatedwithagingplacetheolderadultespeciallyatriskforwhichnursingdiagnosis?ARiskforFallsBRiskforIneffectiveAirwayClearance(choking)CRiskforPoisoningDRiskforSuffocation(drowning)第9题单选题(1分)Whichisthemostcommonlyreportedincidentinhospitals?()AEquipmentmalfunctionBPatientfallsCLaboratoryspecimenerrorsDTreatmentdelays第10题单选题(1分)TheJointCommissionsnationalSpeakUpcampaignencouragespatientstobecomeactiveandinformedparticipantsonthehealthcareteam.Thegoalisto:()Apreventhealthcareerrors.Bhelpcontrolthecostofhealthcare.Creducethenumberofautomobileaccidents.Dprovideaforumforpeoplewithnohealthinsurance.Chapter6第1题第2题单选题(1分)PleaseindicatewhichisthecharacteristicsoftheStageIofpressureulcer()ATheskinispurpleBNon-blanchingredness,swelling,heat,painCPartialthicknessskinlossDTheskinappearsblisterofdifferentsizes第3题单选题(1分)Thereisa2x2cmwoundwithyellowexudateontheMrLi'ssacrum.Whichstageofthispressureulcer?()AStageI:ruddygorestageBStageII:inflammatoryinvasionstageCStageIII:theshallowulcerstageDStageIV:necroticulcersstage第4题单选题(1分)Pleaseindicatewhichpartwillnotoccurpressureulcerwhenthepatientisintheside-lyingposition.()AEarBAcromionCElbowDBreast第5题单选题(1分)Whichisthemainreasonofpressureulcers?()AContinuouspressureBMalnutritionCFecalandurinaryincontinenceDAdvancedage第6题填空题(1分)____isthelargestorganofthebody.正确答案：:["Skin"]第7题第8题第9题单选题(1分)The

skinismainlycomposedofthefollowingtissues().Aepidermis,dermis,skinappendages Bbasalcells,spinouscells,granularcells,hyalinelayer,stratumcorneumCepidermis,dermis,subcutaneoustissue,skinappendagesDepidermis,dermis,nervefibers,bloodvessels,lymphatic

vesselsEepidermis,dermis,subcutaneoustissue正确答案：EChapter7第1题单选题(1分)What

arethekeyobservationpointsduringthemedicationadministation

()APsychologicalneedsofpatientsBFocusonobservationofmental,consciousness,vitalsigns,diet,

sleep,defecation,skin,andphysicalactivityCMentalneedsofthepatientDNeedsforpatientsafety第2题单选题(1分)Which

iscorrectaboutthethree-stepmedication()APatientswithseverepain,chooseweakopioidsBPatientswithmoderatepain,chooseweakopioidsCOpioidsforpatientswithmildpainDNSAIDsandanti-inflammatorydrugsforpatientswithmoderatepain第3题单选题(1分)In

1995,theJointCommitteeAmericanHealthOrganizationdefinedthe

fifthvitalsignwas()AbreathingBpulseCpainDbloodpressure第4题单选题(1分)Facial

Scaleissuitableforthosepeople()Aadults,Belderly,Cchildrenunder7yearsoldoradultswith

cognitiveimpairment,Dilliterate第5题单选题(1分)Which

ofthefollowingarenotcomplicationsduringpaintreatment()ADisorderofconsciousness,unconsciousnessandneuropsychiatric

disordersBDizziness,

nauseaandvomitingCConstipationandurinaryretentionDHypertension,arrhythmiaChaper8第1题单选题(1分)Thenurseispreparingtoperformtracheostomycare.Priortobeginningtheprocedurethenurseperformswhichaction?()ATellstheclienttoraisetwofingerstoindicatepainordistressBChangesthetwilltapeholdingthetracheostomyinplaceCCleanstheincisionsiteDChecksthetightnessofthetiesandknot第2题单选题(1分)Whichactionbythenurserepresentspropenasopharyngeal/nasotrachealsuctiontechnique?()ALubricatethesuctioncatheterwithpetroleumjellybeforeandbetweeninsertions.BApplysuctionintermittentlywhileinsertingthesuctioncatheter.CRotatethecatheterwhileapplyingsuction.DHyperoxygenatewith100%oxygenfor30minutesbeforeandaftersuctioning.第3题单选题(1分)Thenursemakestheassessmentthatwhichclienthasthegreatestriskforaproblemwiththetransportofoxygenfromthelungstothetissues?Aclientwhohas()AAnemia.BAninfection.CAfracturedrib.DAtumorofthemedulla第4题单选题(1分)Topreventpostoperativecomplications,thenurseassiststheclientwithcoughinganddeep-breathingexercises.Thisisbestaccomplishedbyimplementingwhichofthefollowing?()ACoughingexercises1hourbeforemealsanddeepbreathing1houraftermeals.BForcefulcoughingasmanytimesastolerated.CHuffcoughingevery2hoursorasneeded.DDiaphragmaticandpursed-lipbreathing5to10times,fourtimesaday.第5题单选题(1分)Aclientwithchronicpulmonarydiseasehasabluishtingearoundthelips.Thenursechartswhichtermtomostaccuratelydescribetheclient’scondition?()AHypoxiaBHypoxemiaCDyspneaDCyanosisChaper9第1题单选题(1分)Thenursewhoispreparingtogiveafeedingthroughanasogastric(NG)tubeteststheplacementofthetubemostsafelyby:()Acheckingthelungsforrhonchi.Binstilling10mLofnormalsalineandcheckingforcough.Caspiratingstomachcontents.Dinjecting20mLofairandlistenatthetipofthexiphoid.第2题单选题(1分)

Whenthepatienthasjustfinishedreceivingatubefeeding,thenurseleavestheheadofthepatientsbedelevatedfor30to60minutesafterfeedinginorderto:()Afacilitatestomachemptyingandpreventaspiration.Bmaintainskinintegritytothebuttocks.Cfacilitatelungdrainageandpromoteventilation.Dpreventfeedingtubefromclogging.第3题单选题(1分)Stoppingtheinfusionandcheckingforresidual,thenurseaspirates155mLofgastriccontents.Thenurseshouldnext:()Areplacetheaspirateandcontinuewiththefeeding.Bthrowtheaspirateawayandflushthetubing.Creplacetheaspirateandstopfeedingfor1to2hours.Dthrowtheaspirateawayandstopfeedingfor2hours.第4题单选题(1分)

ThenurseinsertinganNGtubethroughthenostrilintothebackofthethroatofapatientwouldinstructthepatientto:()Ahyperextendthehead.Bcoughforcefully.Cdropheadforwardandbegintoswallow.Dopenmouthandextendtongue.第5题单选题(1分)

Anursepositionsapatientfortheinsertionofanasogastric(NG)tubeby:()

ASittingthepatientuprightandhyperextendingthepatientshead.BLoweringtheheadofthebedtoaflatposition.CRaisingtheheadofthebedto15degrees.DTurningthepatienttoaleftside-lyingposition.Chapter10第1题单选题(1分)Whencaringforahospitalizedpatientwithaurinarycatheter,whichnursingactionbestpreventsthepatientfromacquiringaninfection?()AInsertingthecatheterusingstrictcleantechniqueBPerforminghandhygienebeforeandafterprovidingperinealcareCFullyinflatingthecatheter’sballoonaccordingtothemanufacturer’srecommendationDDisconnectingandreplacingthecatheterdrainagebagoncepershift第2题单选题(1分)Thenursewouldquestionanordertoinsertaurinarycatheteronwhichpatient?AA26-year-oldpatientwitharecentspinalcordinjuryatT2B

A30-year-oldpatientrequiringdrugscreeningforemploymentCA40-year-oldpatientundergoingbladderrepairsurgeryDAn86-year-oldpatientrequiringmonitoringofurinaryoutputforrenalfailure第3题单选题(1分)Thenurseknowsthatwhichindwellingcatheterprocedureplacesthepatientatgreatestriskforacquiringaurinarytractinfection?()AEmptyingthedrainagebagevery8hoursorwhenhalffull.BKinkingthecathetertubingtoobtainaurinespecimen.CPlacingthedrainagebagonthesiderailofthepatient’sbed.DFailingtosecurethecathetertubingtothepatient’sthigh.第4题单选题(1分)Manyindividualshavedifficultyvoidinginabedpanorurinalwhilelyinginbedbecausethey()AAreembarrassedthattheywillurinateonthebedding.BWouldfeelmorecomfortableassuminganormalvoidingposition.CFeeltheyarelosingtheirindependencebyaskingthenursingstafftohelp.DAreworriedaboutacquiringaurinarytractinfection.第5题单选题(1分)Toobtainaclean-voidedurinespecimenforafemalepatient,thenurseshouldteachthepatientto()ACleansetheurethralmeatusfromtheareaofmostcontaminationtoleast.BInitiatethefirstpartoftheurinestreamdirectlyintothecollectioncup.CHoldthelabiaapartwhilevoidingintothespecimencup.DDrinkfluids5minutesbeforecollectingtheurinespecimen.第6题单选题(1分)Whenestablishingadiagnosisofalteredurinaryelimination,thenurseshouldfirst()AEstablishnormalvoidingpatternsforthepatient.BEncouragethepatienttoflushkidneysbydrinkingexcessivefluids.CMonitorpatients’voidingattemptsbyassistingthemwitheveryattempt.DDiscusscausesandsolutionstoproblemsrelatedtomicturition.第7题单选题(1分)Uponpalpation,thenursenoticesthatthebladderisfirmanddistended;thepatientexpressesanurgetourinate.Thenurseshouldfollowupbyasking()A“Whenwasthelasttimeyouvoided?”B“Doyouloseurinewhenyoucoughorsneeze?”C“Haveyounoticedanychangeinyoururinationpatterns?”D“Doyouhaveafeverorchills?”第8题单选题(1分)Whencaringforapatientwithurinaryretention,thenursewouldanticipateanorderfor()ALimitedfluidintake.BAurinarycatheter.CDiureticmedication.DArenalangiogram.第9题单选题(1分)Apatienthasfallenseveraltimesinthepastweekwhenattemptingtogettothebathroom.Thepatientinformsthenursethathegetsup3or4timesanighttourinate.Whichrecommendationbythenurseismostappropriateincorrectingthisurinaryproblem?()AClearthepathtothebathroomofallobstaclesbeforebed.BLeavethebathroomlightontoilluminateapathway.CLimitfluidandcaffeineintakebeforebed.DPracticeKegelexercisestostrengthenbladdermuscles.第10题单选题(1分)Thenurseknowsthaturinarytractinfection()isthemostcommonhealthcare–associatedinfectionbecause()ACatheterizationproceduresareperformedmorefrequentlythanindicated.BEscherichiacolipathogensaretransmittedduringsurgicalorcatheterizationprocedures.CPerinealcareisoftenneglectedbynursingstaff.DBedpansandurinalsarenotstoredproperlyandtransmitinfection.第11题单选题(1分)Thenurseknowsthatindwellingcathetersareplacedbeforeacesareanbecause()AThepatientmayvoiduncontrollablyduringtheprocedure.BAfullbladdercancausethemother’sheartratetodrop.CSpinalanestheticscantemporarilydisableurethralsphincters.DThepatientwillnotinterrupttheprocedurebyaskingtogotothebathroom.第12题单选题(1分)Apatientisexperiencingoliguria.Whichactionshouldthenurseperformfirst?()AIncreasethepatient’sintravenousfluidrate.BEncouragethepatienttodrinkcaffeinatedbeverages.CAssessforbladderdistention.DRequestanorderfordiuretics.Chapter11第1题单选题(1分)Youareperformingone-rescuerCPR.HowlongshouldyoucontinueadministeringCPR?()AUntilthecasualtyrecovers.BUntilyouarerelievedbyaqualifiedperson.CUntilyouaretooexhaustedtocontinueadministeringCPR.DAlloftheaboveareappropriateresponses.第2题单选题(1分)Whenperformingchestcompressiononanadultcasualty,youshouldpushthesternumdownabout:()A1inch.B2inches.C3inches.D4inches.第3题单选题(1分)WhenperformingthechestcompressionportionofCPR,youshouldpushdownonthelowerhalfofthe:ARibs.BSpine.CSternum.DXiphoidprocess第