北京张博士医考护士出国考试辅导——CGFNS自测题7

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13. The client who suffered a crush injury to the leg has a highly positive urine myoglobin level .The nurse assesses this particular client carefully for signs of

A. Cerebrovascular accident

B. Acute tubular necrosis

C. Respiratory failure

D. Myovardial infarction

Answers B.

14. The adult male client admitted to the hospital with shock has received replacement .The nurse evaluates that the client has had adequate fluid resuscitation if the client‘s repeat hematocrit level has decreased to which of the following values in the normal range？

A. 56%

B. 48%

C. 39%

D. 34%

Answers B.

15. The nurse is formulating a plan of care for feeding refuses to participate in the plan of care，will not make eye contact，and does not speak to the family or visitors .The nurse assesses that this client is using which type of coping mechanism？

A. Imbalanced Nutrition，Less Than body Requirements

B. Risk for Aspiration

C. Risk for Deficient Fluid Volume

D. Distancing

Answers B.

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