HAAD-RN 試験問題を無料オンラインアクセス

When caring for a patient with hepatic encephalopathy the nurse may carry out the following orders: give enemas, provide a low protein diet, and limit physical activities. These measures are performed to:

• A.Decrease portal pressure
• B.Decrease serum ammonia
• C.Reduce hyperkalemia
• D.Minimize edema

While assessing a patient, the nurse learns that he has a history of allergic rhinitis, asthma, and multiple food allergies. The nurse must:

• A.Advise the patient to use aspirin in case of febrile illnesses
• B.Encourages the patient to carry an epinephrine kit in case of an allergic reaction
• C.Admit the patient to a single room with limited exposure to health care personnel
• D.Be alert to hypersensitivity response to the prescribed medications

A patient admitted to the hospital in hypertensive crisis is ordered to receive hydralazine (Apresoline) 20mg IV stat for blood pressure greater than 190/100 mmHg. The best response of the nurse to this order is to:

• A.Call the physician because the order is not clear
• B.Administer the dose and repeat as necessary
• C.Give medication if patient's blood pressure is > 190/100 mmHg
• D.Give the dose immediately and once

In caring for a woman and baby day 3 postnatally, she tells you that her baby has not had a bowel action since delivery. Your appropriate response would be:

• A.Start a bowel chart, document all findings, and wait another 48 hours before reporting to the physician
• B.Reassure the mother that it is quite normal for a baby to not move their bowels until day 5 after a few days of milk feeding
• C.Tell the mother that you will let the physician know, so the baby can be checked for any obstruction
• D.Encourage more frequent warm baths for the neonate with gentle abdomen massages

Nursing management of a patient with pulmonary embolism would focus on which of the following actions?

• A.Assessing signs of DVT in legs
• B.Monitoring patient for cardiogenic shock
• C.Monitoring for other sources of clots
• D.Assessing oxygenation status