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ISPN考试模拟试题(158)

Question:

A client’s abdominal incision eviscerates. The nurse should first:

1. Take the client’s vital signs and call the physician.

2. Lower the client’s head and elevate the feet.

3. Cover the incision with a dressing moistened with sterile normal saline solution.

4. Start an emergency infusion of IV fluids.

When an incision eviscerates, it is a medical emergency. The nurse’s first response is to apply a sterile dressing that has been moistened with sterile normal saline solution.

The client should also be placed in semi-Fowler’s position to release any tension on the abdominal area. Vital signs should be taken, and an IV line may be started for emergency treatment; however, the first action is to protect the wound and abdominal contents.

CN: Reduction of risk potential; CL: Synthesize

Answer: 3
小编寄语: 成功其实很简单,就是当你坚持不住的时候,再坚持一下。

时间:2020/1/7 9:17:15
 
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