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美国护士资格认证(CGFNS)-15
(总分：53.00，做题时间：90分钟)
颍州怎么读一、Part One(总题数：30，分数：30.00)
1.A client who agreed to become an organ donor is pronounced dead. What is the most important factor in lecting a transplant recipient?
A. Blood relationship.
B. Sex and size.
C. Compatible blood and tissue types.
D. Need.
A.
生态影响 B.
C. √
D.
解析：The donor and recipient must have compatible blood and tissue types. They should be fairly clo in size and age. When a living donor is considered, it's preferable to have a relative donate the organ. Need is important, but it can't be the critical factor if a compatible donor isn't available.
2.The nur is caring for a client who has just had a modified radical mastectomy with immediate reconstruction. She's in her 30s and has two young children. Although she's worried about her future, she ems to be adjusting well to her diagnosis. What should the nur do to support her coping?
A. Tell the client's spou or partner to be supportive while she recovers.
B. Encourage the client to proceed with the next pha of treatment.
C. Recommend that the client remain cheerful for the sake of her children.
D. Refer the client to the American Cancer Society's Reach for Recovery program or another support program.
A.
B.
C.
D. √
解析：The client isn't withdrawn or showing other signs of anxiety or depression. Therefore, the nur can probably safely approach her about talking with others who have had similar experiences, either through Reach for Recovery or another formal support group. The nur may educate the client's spou or partner to listen for concerns, but the nur shouldn't tell the client's spou what to do. The client must consult with her physician and make her own decisions about further treatment. The client needs to express her sadness, frustration, and fear. She can't be expected to be ch
eerful at all times.
3.A 19-year-old primigravida is admitted to the labor and delivery unit in labor. She's 2 cm dilated and 50% effaced, and the fetal head is at 0 station. She's having moderately strong 40-cond contractions every 5 minutes. She ems rather anxious and becomes very ten during each contraction. When the client asks for pain relief, what should the nur do next?
A. Determine the source of her anxiety and institute interventions to help her relax.
B. Immediately check the physician's order and give her the analgesic ordered.
C. Inform her that the neonate's head isn't down far enough just yet but that, as soon as it is, medication will be given.
D. Tell her that her contractions are only moderately strong and that she should wait until later to take medication.
A. √
B.
C.
D.
解析：Decreasing anxiety can break the fear-tension-pain cycle. Analgesics given too early can prolong labor. Informing the client that the neonate's head isn't down far enough and telling her that her contractions are only moderately strong aren't helpful or encouraging; she obviously needs immediate attention of some kind.
4.The nur is caring for a client admitted to the emergency department after a motor vehicle accident. Under the law, the nur must obtain informed connt before treatment unless
A. the client is mentally ill.
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B. the client refus to give informed connt.
排练三C. the client is in an emergency situation.
D. the client asks the nur to give substituted connt.
A.
B.
C. √
D.
解析：The law doesn't require informed connt in an emergency situation when the client is unable to give connt and no next of kin is prent. A mentally competent client may refu or revoke connt at any time. Even though a client who is declared mentally incompetent can't give informed connt, mental illness doesn't by itlf indicate that the client is incompetent to give informed connt. Although the nur may act as a client advocate, the nur can never give substituted connt.
5.The nur is caring for a client with otosclerosis scheduled to undergo a stapedectomy. The client asks the nur when her hearing will improve. Which respon by the nur is most appropriate?
A. Your hearing may not improve but you'll no longer be bothered by tinnitus.
B. Your hearing may be dramatically improved right after surgery.
C. You may notice improved hearing within 1 to 2 weeks.
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D. Your hearing may improve 3 to 6 weeks after surgery.
A.
B.
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D. √
解析：After stapedectomy, it can take as long as 6 weeks for hearing to improve. The client may not notice any improvement in the first 2 weeks after surgery. After surgery, hearing may initially worn becau of swelling and fluid accumulation in the ear. Tinnitus may not resolve.铅球怎么扔
6.A client's blood gluco level is 45 mg/dL. The nur should be alert for which signs and symptoms?
