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試験科目:「National Council Licensure Examination(NCLEX-RN)」
問題と解答:全865問 NCLEX-RN全真問題集

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NO.1 A 10-year-old client with a pin in the right femur is immobilized in traction. He is exhibiting
behavioral changes including restlessness, difficulty with problem solving, inability to concentrate on
activities, and monotony. Which of the following nursing implementations would be most effective in
helping him cope with immobility?
A. Providing him with books, challenging puzzles, and games as diversionary activities
B. Stimulating rest and relaxation by gentle rubbing with lotion and changing the client's position
C. Allowing him to do as much for himself as he is able, including learning to do pin-site care under
D. Having a volunteer come in to sit with the client and to read him stories
Answer: C

(A) These activities could be frustrating for the client if he is having difficulty with problem solving
and concentration. (B) Selfcare is usually well received by the child, and it is one of the most useful
interventions to help the child cope with immobility. (C) This may be helpful to the client if he has no
visitors, but it does little to help him develop coping skills. (D) This will helpto prevent skin irritation
or breakdown related to immobility but will not help to prevent behavioral changes related to

NO.2 The pediatrician has diagnosed tinea capitis in an 8- year-old girl and has placed her on oral
griseofulvin. The nurse should emphasize which of these instructions to the mother and/or child?
A. May discontinue medication when the child experiences symptomatic relief.
B. Administer oral griseofulvin on an empty stomach for best results.
C. Discontinue drug therapy if food tastes funny.
D. Observe for headaches, dizziness, and anorexia.
Answer: D

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(A) Giving the drug with or after meals may allay gastrointestinal discomfort. Giving the drug with a
fatty meal (ice cream or milk) increases absorption rate. (B) Griseofulvin may alter taste sensations
and thereby decrease the appetite. Monitoring of food intake is important, and inadequate nutrient
intake should be reported to the physician. (C) The child may experience symptomatic relief after 48-
96 hours of therapy. It is important to stress continuing the drug therapy to prevent relapse (usually
about 6 weeks). (D) The incidence of side effects is low; however, headaches are common. Nausea,
vomiting, diarrhea, and anorexia may occur. Dizziness, although uncommon, should be reported to
the physician.

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投稿日: 2016/6/30 18:12:54  |  カテゴリー: NCLEX  |  タグ: NCLEX-RN資格NCLEX