p***n
发帖数: 32 | 1 最近做Q- BANK，排序题老出错，而且就算看了答案的解释也无法明白。我像是不是
我自己的思路除了问题。
列出几道我的错题，希望大家给讲解一下。谢谢。
第一题：
The nurse cares for a client diagnosed with spinal cord injury at the level
of T1. The nurse notes profuse sweating, and
the client complains of a pounding headache and nasal stuffiness. Arrange
the following actions in the proper sequence
from FIRST to LAST. All options must be used.
答案：
Strategy:Determine how best to decrease client’s blood pressure.
(1) Place the client in a sitting position: lowers blood pressure
(2) Check the Foley catheter tubing for kinks or obstruction: most common
cause is distended bladder or
constipation
(3) Monitor the blood pressure every 10–15 minutes: if emptying the bladder
or removing the fecal mass does not
decrease blood pressure, hydralazine hydrochloride (Apresoline) is
administered IV
(4) Label the chart with a visible note about the risk for autonomic
dysreflexia: ensures that staff is aware of risk
(5) Instruct the client about how to prevent autonomic dysreflexia: instruct
about signs/symptoms and causes (full
bladder, impaction, pressure on skin, cool draft)
我的选择：
(1) Place the client in a sitting position:
(2) Check the Foley catheter tubing for kinks or obstruction:
(3) Monitor the blood pressure every 10–15 minutes:
(4) Instruct the client about how to prevent autonomic dysreflexia
(5) Label the chart with a visible note about the risk for autonomic
dysreflexia:
理由：既然都在床旁了，为什么不顺便instruct?非要把 chart写了再回来instruct?而
且不是说病人最大么？不是应该病人“先”，记录“后”么？ | p***n
发帖数: 32 | 2 第二题：
The nurse admits a client diagnosed with chronic lung disease to the acute
pulmonary unit. The nursing assessment
reveals respiratory rate of 50, pulse 140 and irregular, skin pale and cool
to touch, and client confused to person, place,
and time. Orders include oxygen per nasal cannula at 4 L/min, bedrest, soft
diet, and pulmonary function tests in the A.M.
Place the following nursing activities in the proper sequence beginning with
MOST important. All options must be used.
答案：
Strategy:Determine the outcome of each answer.
(1) Place the client in semi-Fowler position: allows for maximal lung
expansion
(2) Ask a staff member to stay with the client: do not leave the client
alone
(3) Contact the physician: client appears unstable; support respiratory
function first
(4) Administer oxygen at 4 L/min: oxygenates the client
我的选择：
Strategy:
Determine the outcome of each answer.
(1) Place the client in semi-Fowler position:
(2) Administer oxygen at 4 L/min:
(3) Ask a staff member to stay with the client
(4) Contact the physician:
理由：病人这么紧急了，难道不应该先给氧气？很多有优先题不是都要护士先紧急处理
了，然后再通知医生吗？ | a******2
发帖数: 13 | 3 Do not care too much about the correct answer. As long as you understand the
concept, you will be fine for the NCLEX. Nobody knows the correct answers
for the NCLEX test.
I found myself disagreed with Kplan or my instructors several times. I just
insisted my answers as I think it is the most reasonable/safest practice.
By the way,take your time for NCLEX. I almost used 2.5 hours to do the 75
questions.
level
【在 p***n 的大作中提到】
: 第二题：
: The nurse admits a client diagnosed with chronic lung disease to the acute
: pulmonary unit. The nursing assessment
: reveals respiratory rate of 50, pulse 140 and irregular, skin pale and cool
: to touch, and client confused to person, place,
: and time. Orders include oxygen per nasal cannula at 4 L/min, bedrest, soft
: diet, and pulmonary function tests in the A.M.
: Place the following nursing activities in the proper sequence beginning with
: MOST important. All options must be used.
: 答案：
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