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2020 Nurse Qualification Examination Chapter 11 After-school Exercises: Section 16

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    [Abstract] The time for the nurse qualification exam in 2020 has been determined. Have you signed up for this exam? Have you started reviewing? Preparing for a nurse qualification certificate and doing a question is a very important part of the review process. The Global Nurse Practitioner Channel brings the eleventh chapter of the 2020 Nurse Qualification Examination Exercise: Section 16 to help everyone consolidate their knowledge.

    Related recommendations: 2020 Nurse Qualification Exam Chapter 11

    Nursing of patients with pelvic fracture

    First, A1

    1, pelvic fracture traction is usually the most suitable for traction after injury

    A, 2 to 3 weeks

    B, 4 to 5 weeks

    C, 6-8 weeks

    D, 9-10 weeks

    E 、 11 ~ 12 weeks

    Second, A2

    1. The patient, male, 28 years old, had abdominal pain, peritoneal irritation signs, and had hematuria and dysuria after a traffic accident. X-ray examination revealed a pelvic fracture. The first complications to consider are

    A, kidney injury

    B. Intestinal rupture

    C. Bladder injury

    D. Anterior urethral injury

    E. Posterior urethral injury

    2. Female patient, 52 years old. A pelvic fracture was diagnosed and treated with active anti-shock therapy. Blood pressure failed to rise. The possible cause is

    A. Psoas muscle hematoma

    B. Subcapsular hematoma

    C. Stress ulcer

    D. Severe pain stimulation

    E. Rupture of liver and spleen

    3. A female patient, 35 years old, who had a pelvic fracture due to a car accident, underwent open reduction and internal fixation. After the patient wanted to change position, the nurse should explain to the patient correctly

    A. Unchangeable posture

    B. After anesthesia, it can be changed to the lying position on the affected side.

    C. After 1 week, it can be changed to the lying position on the affected side.

    D. The fracture can be transformed into the lying position after healing.

    E. In the future, the lateral position of the affected side is always forbidden to avoid re-injury after fracture healing.

    Three, A3 / A4

    1. Patient, male, 45 years old, was injured by a car in the lower abdomen for 6 hours, and did not urinate. After admission, she had a clear mind, poor spirit, pale face, cold limbs, blood pressure 69 / 45mmHg, heart rate 133 beats / min, physical examination: tenderness at the pubic symphysis, positive crush test, and bladder filling.

    <1> Nursing measures taken by the nurse for the patient should be excluded

    A. Close observation of vital signs

    B. For rapid fluid replacement, a deep femoral vein cannula can be established

    C. Urinary catheterization should be performed immediately to observe urine output

    D. Establish venous access immediately

    E. Observe patient consciousness

    <2> The nurse performed urinary catheterization for the patient. The catheter was inserted to a certain depth, but no urine was seen, and blood was seen at the tip of the catheter. Considering possible causes is

    A. Incorrect catheter insertion method

    B. The front section of the catheter is not lubricated

    C. Urinary tract obstruction

    D. Pelvic fracture with urethral rupture

    E. Pelvic fracture with bladder hematoma

    1 2

    share to: Edit: Tian Tian

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