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ISPN考试模拟试题(344)

Question:

The client arrives in the emergency room following a bicycle accident in which the client’s forehead hit the pavement. The client is diagnosed as having a hyphema. The nurse should place the client in which position? 

1. Supine. 

2. Semi-Fowler’s. 

3. Side-lying on the affected side. 

4. Side-lying on the unaffected side.
 

 

A hyphema is the presence of blood in the anterior chamber of the brain. Hyphema is produced when a force is sufficient to break the integrity of the blood vessels in the eye and can be caused by direct injury, such as penetrating injury from a small bullet or pellet, or indirectly, such as from striking the forehead on the pavement during an accident. The client is treated by bed rest in a semi-Fowler’s position to assist gravity in keeping the hyphema away from the optical center of the cornea. 

CN: Physiological integrity; CL: Apply

Answer:2

 

翻译

 

问题:

在一次自行车事故中,病人的额头撞到了人行道上,病人被送到急诊室并被诊断为前房积血。护士应该把病人放在哪个体位?

1.仰卧。

2.半坐卧位。

3.侧躺在受影响的一侧。

4.侧躺在未受影响的一侧。

 

答案:2

前房积血是指大脑前房有血。前房积血是当一个力足以破坏眼睛血管的完整性时产生的,它可以由直接伤害引起,例如小子弹或弹丸的穿透性伤害,也可以是间接的,例如在事故中前额撞到人行道上。病人采用半卧位卧床休息,以辅助重力使前房积血远离角膜的光学中心。

CN:生理完整性;CL:应用

小编寄语As long as you do it seriously, as long as you do better than yesterday, you should cheer for yourself !只要你认真做了,只要你比昨天做得好,就应该为自己喝彩,为自己加油鼓掌!

时间:2020/9/9 14:11:07
 
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