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ISPN考试模拟试题(449)

Question:

A nurse is caring for a child with intussusception. Which of the following is an expected outcome for a goal to relieve acute pain from abdominal cramping? 

1. The child exhibits no manifestations of discomfort. 

2. The child is very still. 

3. The child has a normal bowel movement. 

4. The child has not vomited in 3 hours.

 

 

An expected client outcome for a goal to reduce acute pain related to cramping is that the client exhibits no manifestations of discomfort, such as crying or drawing the legs to the abdomen. Being very still may indicate either a pain state or a state of relaxation, and the nurse would need to assess the client further. Having normal bowel movements and not vomiting are desired outcomes, but the goal here is to relieve the pain. 

CN: Physiological adaptation; CL: Synthesize

Answer:1

 

翻译

 

问题:

护士正在照顾一个肠套叠患儿。以下哪一项是减轻腹部绞痛引起急性疼痛的预期结果?

1.这孩子没有任何不适的表现。

2.这孩子很安静。

3.这孩子排便正常。

4.这孩子已经三个小时没呕吐了。

 

答案:1

以减少与痉挛绞痛有关的急性疼痛为目标的预期结果是,患者没有表现出不适的表现,如哭泣或将腿拉到腹部。非常安静可能表示疼痛状态或放松状态,护士需要进一步评估病人。排便正常,不呕吐是理想的结果,但这里的目标是减轻疼痛。

CN:生理适应;CL:合成

小编寄语:There are two kinds of the most dazzling light in the world, one is the sun, one is our efforts.世上有两种最耀眼的光芒,一种是太阳,一种是我们努力的模样。

时间:2021/1/27 10:56:29
 
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