NCLEX-RN 문제 811
고객이 10시간 동안 진통을 겪었습니다. 그녀의 수축은 활동성이 떨어지고 지속 시간이 느려졌습니다. 태아는 0위치에 있고 자궁경부는 8cm 확장되었으며 90% 소실되었습니다. 의사는 옥시토신(피토신) 주입을 즉시 시작하도록 지시합니다. RN은 옥시토신 주입을 시작합니다. 다음 중 어느 하나가 발생하면 RN이 주입을 중단하는 것이 중요합니까?
NCLEX-RN 문제 812
A 60-year-old male client was hospitalized 3 days ago with the diagnosis of acute anterior wall myocardial infarction. Today he has been complaining of increasing weakness and shortness of breath. Crackles in both lung bases are audible on auscultation. He is developing:
NCLEX-RN 문제 813
A 40-year-old client has lived for 8 years with an abusive spouse. She married her husband in her senior year of high school after becoming pregnant. Shortly after the baby was born, he began to physically abuse her. She has attempted to leave him several times, but she has always returned. She is unable to support herself financially, and her husband threatens to kill her if she leaves him. This time, her husband has beaten her so badly she cannot stop the bleeding from the gash above her eye. She admits her husband caused her injury. In assessing a person after experiencing spousal abuse, which need has the highest priority?
NCLEX-RN 문제 814
다음 중 산전 고객을 평가할 때 간호사가 가장 염려해야 하는 혈압 수치의 변화는 무엇입니까?
NCLEX-RN 문제 815
A 43-year-old client is admitted to the hospital with a diagnosis of peripheral vascular disorder. She arrives in her room via stretcher and requires assistance to move to her bed. The nurse notes that her left leg is cold to touch. She complains of having recently experienced muscle spasms in that leg. To determine if these muscle spasms are indicative of intermittent claudication, the nurse would begin her assessment with the following question: