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最好的NCLEX NCLEX-RN:National Council Licensure Examination(NCLEX-RN)考題寶典 - 100%合格率Fast2test NCLEX-RN認證考試
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最新的 NCLEX Certification NCLEX-RN 免費考試真題 (Q626-Q631):
問題 #626
A client takes warfarin (Coumadin) 15 mg po daily. To evaluate the medication's effectiveness, the nurse should monitor the:
- A. prothrombin time (PT)
- B. Fibrin split products
- C. partial thromboplastin time (PTT)
- D. PTT-C
答案:A
解題說明:
Explanation/Reference:
Explanation:
(A) PT evaluates adequacy of extrinsic clotting pathway. Adequacy of warfarin therapy is monitored by PT.
(B) PTT evaluates adequacy of intrinsic clotting pathway. Adequacy of heparin therapy is monitored by PTT. (C) There is no such laboratory test. (D) Fibrin split products indicate fibrinolysis. This is a screening test for disseminated intravascular coagulation. Heparin therapy may increase fibrin split products.
問題 #627
In a client with chest trauma, the nurse needs to evaluate mediastinal position. This can best be done by:
- A. Auscultating heart sounds
- B. Palpating for presence of crepitus
- C. Palpating for trachial deviation
- D. Auscultating bilateral breath sounds
答案:C
解題說明:
Section: Questions Set A
Explanation:
(A) No change in the breath sounds occurs as a direct result of the mediastinal shift. (B) Crepitus can occur owing to the primary disorder, not to the mediastinal shift. (C) Mediastinal shift occurs primarily with tension pneumothorax, but it can occur with very large hemothorax or pneumothorax. Mediastinal shift causes trachial deviation and deviation of the heart's point of maximum impulse. (D) No change in the heart sounds occurs as a result of the mediastinal shift.
問題 #628
An IDDM client's condition stabilizes. He begins to receive a daily injection of NPH insulin at 6:30 AM. The nurse can most likely expect a hypoglycemic reaction to occur that same day at:
- A. 7:30 PM-9:30 PM
- B. 10:30 PM-11:30 PM
- C. 2:30 PM-4:30 PM
- D. 8:30 AM-10:30 AM
答案:C
解題說明:
Explanation/Reference:
Explanation:
(A) This time describes the time of onset of NPH insulin's action, rather than its peak effect. (B) NPH insulin, an intermediateacting insulin, usually begins to lower serum glucose levels about 2 hours after administration. The action of NPH insulin peaks 8-14 hours after administration. It has a 20-30 hour duration. (C) The time stated is not the time of peak action for NPH insulin administered at 6:30 AM. (D) The time stated is not the time of peak action for NPH insulin administered at 6:30 AM.
問題 #629
A 67-year-old client will be undergoing a coronary arteriography in the morning. Client teaching about postprocedure nursing care should include that:
- A. Bed rest with bathroom privileges will be ordered
- B. He will be kept NPO for 8-12 hours
- C. The leg used for arterial puncture should be kept straight for 8-12 hours
- D. Some oozing of blood at the arterial puncture site is normal
答案:C
解題說明:
Section: Questions Set C
Explanation:
(A) Bed rest will be ordered for 8-12 hours postprocedure. Flexing of the leg at the arterial puncture site will occur if the client gets out of bed, and this is contraindicated after arteriography. (B) The client will be able to eat as soon as he is alert enough to swallow safely and that will depend on what medications are used for sedation during the procedure. (C) Oozing at the arterial puncture site is not normal and should be closely evaluated. (D) The leg where the arterial puncture occurred must be kept straight for 8-12 hours to minimize the risk of bleeding.
問題 #630
A client is to be discharged from the hospital and is to continue taking warfarin 2.5 mg po bid. Which of the following should be included in her discharge teaching concerning the warfarin therapy?
- A. "If you forget to take your morning dose, double the night time dose."
- B. "You should take aspirin instead of acetaminophen (Tylenol) for headaches."
- C. "You should use a straight-edge razor when shaving your arms and legs."
- D. "Carry a medications alert card with you at all times."
答案:D
解題說明:
Explanation
(A) Warfarin must always be taken exactly as directed. Clients should be instructed never to skip or double up on their dosage. (B) Aspirin decreases platelet aggregation, which would potentiate the effects of the coumadin. (C) Healthcare providers need to be aware of persons on warfarin therapy prior to the initiation of any diagnostic tests and/or surgery to help prevent bleeding complications. (D) An electric razor should be used to prevent accidental cutting, which can lead to bleeding.
問題 #631
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