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ISPN考试模拟试题(512)

Question:

The charge nurse on an antepartal unit is making staffing assignments for the day. There is a registered nurse (RN), licensed practical nurse (LPN), and an unlicensed assistive personnel (UAP) to care for 15 clients. The nurse should assign which of the following clients to the LPN? 

1. A newly admitted G5 P2 Ab 2 with second trimester bleeding, reportedly currently saturating one to two pads in 12 hours. 

2. A 22-year-old G2 P1 with urinary retention who is being catheterized with an intermittent in and out every 4 to 6 hours PRN while awaiting urine cultures to be returned. 

3. A G4 P2 with a twin pregnancy who was admitted in preterm labor and is now able to ambulate two to three times daily and having no contractions. 

4. A 30-year-old G4 P0 who was admitted with sickle cell crisis currently receiving blood and pain medication.

 

Answer:2

The 22-year-old G2 with urinary retention and needing to be I & O catheterized by a health care provider can be cared for by the LPN. There is nothing else indicating a need for a higher level of care. The newly admitted G5 client is in need of an admission assessment and assessment of fetal well-being and bleeding that will need to be done by an RN. The G4 P2 with a twin pregnancy who has been in preterm labor can be cared for by a UAP since there is no active labor and no indication of distress in the fetuses. The client in sickle cell crisis requires a high level of care to be provided by an RN. 

CN: Management of care; CL: Synthesize

翻译

问题:

产前病房的护士长正在安排当天的人员配置。有一名注册护士(RN)、执业护士(LPN)和一名无证助理人员(UAP)照顾15名病人。护士应将下列哪位病人分配到LPN

1.新入院的G5 P2 Ab 2妊娠中期出血,据报告目前在12小时内达到1至2个褥垫的饱和。

2.一名22岁的G2-P1尿潴留患者,在等待尿液培养返回的同时,每隔46小时进行一次间歇的PRN进出导尿。

3.一名G4 P2双胎妊娠患者,因早产入院,现在每天可以走动23次,没有宫缩。

4.一名30岁的G4 P0患者,因镰状细胞危象入院,目前正在接受血液和止痛药治疗。

 

答案:2

22岁的G2患者有尿潴留,需要由医护人员进行I&O导尿,可以由LPN进行护理。没有其他迹象表明需要更高水平的护理。新入院的G5患者需要入院评估以及胎儿健康和出血评估,这需要由RN完成。双胎妊娠早产的G4-P2可以通过UAP进行护理,因为没有活跃的分娩和胎儿痛苦的迹象。镰状细胞危象的病人需要RN提供高水平的护理。

CN:护理管理;CL:综合

小编寄语:People have two roads to go, one is must go, the other is want to go, you must go to the road to beautiful, to be able to walk the road to go.人有两条路要走,一条是必须走的,一条是想走的,你必须把必须走的路走漂亮,才能够走想走的路。

时间:2021/6/15 11:11:23
 
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