2021年护理人员核心制度试题及答案.pdf

资料收集于网络如有侵权请联系网站删除谢谢精品文档护理核心制度考试试题一、填空题1.抢救病人时，医生下达口头医嘱后，护士须复诵一遍，由二人核对后方可执行。2.抢救结束后医生应及时据实补写医嘱。药品空安瓿须经两人核对后方可弃去。3.发现可疑医嘱，应及时向医生提出，不得盲目执行，需取消医嘱时，由医生用红笔写取消二字并签名。4、抢救物品、器材及药品五定，定点放置、定人管理、定量供应、定时清点、定期检查所有抢救设施处于备用状态。5、因抢救急危重患者而未及时书写的记录，有关人员应在抢救后6 小时内及时据实补记。二、选择题1、书写手术患者交班报告时，不要求书写的内容是(D)A手术名称B麻醉方式C生命体征D手术者姓名E伤口情况2、.物理降温后半小时测得的体温记录应(B)A在降温前的同一纵格内用红点红虚线表示B在降温前的同一纵格内用红圈红虚线表示C在降温前的同一纵格内用蓝点蓝圈表示D在降温前的下一纵格用蓝圈蓝虚线表示E在降温前的下一纵格用蓝圈红虚线表示3、长期备用医嘱的缩写是(B)As.o.s Bp.r.n Ct.i.d Dq.dESt.4、要求立即执行的“st”医嘱，需在多少分钟内执行(C)A5 分钟 B10 分钟C 15 分钟 D20 分钟 E 25 分钟5、.为 7 岁以下患儿测三测时，可以仅测量(A)A体温B体温、脉搏C体温、呼吸、血压D体温、脉搏、血压E体温、脉搏、呼吸6、因抢救未能及时记录时，应在抢救结束后哪个时间段内据实补记：(C)A2 小时内 B4 小时内C6 小时内 D12 小时内7、需要日间用蓝钢笔，夜间用红钢笔书写的是(E)A医嘱单B体温单C高危评估单D输血单E病区报告8、.护理记录的书写要求不正确的是(E)A记录必须及时、准确B内容简明扼要C医学术语应用确切D字迹清楚不得涂改E眉栏、页码可不填写9、立即执行的医嘱，在医嘱开出后多少时间内执行(A)A15 分钟内B5 分钟内精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 1 页，共 6 页资料收集于网络如有侵权请联系网站删除谢谢精品文档C30 分钟内D60 分钟内E12 小时内10、.关于临时备用医嘱，下列哪项不妥(B)A医嘱有效时间在12 小时以内B医嘱有效时间在24 小时以内C日间备用医嘱仅限于日间有效，医嘱当天下午7 时后失效D夜间备用医嘱仅限于夜间有效E临时备用医嘱未用，需由护士在该医嘱后写明“未用”两字而注销该医嘱11、.在体温单上用红钢笔纵行在4042相应时间栏内填写的内容，不包括下列哪项(D)A入院B出院C分娩D抢救E手术12、.护理记录时，应注意病情记录与何种记录保持一致(B)A财产记录B医疗记录C教学记录D实验记录E管理记录三、案例题1、某晚 20 时许，120送来一位外伤后意识不清的多发伤病人，此时值班医生正外出会诊，作为晚班的你，该如何应对？题目及答案一填空题1.常 见 的 输 液 反 应 有-反 应、-、-和-四种。2.发生输液反应后要-小时内向-、-、-和供应室书面汇报。3.发 生 输 血 反 应 后 要 立 即 停 止-，更 换-，保 持-，换-，保留-。4.药物过敏反应可以表现为-过敏、-过敏、-过敏和-。5.一旦发生过敏性休克应立即-，将患者就地-、-、-，皮下注射-0.5-1ml。答案：1.发热反应，急性肺水肿，空气栓塞，静脉炎。2.4 小时，医务科，护理部，药剂科。3.停止输血，输血器，静脉通路，生理盐水，血袋和输血器。4.胃肠道，皮肤，呼吸道，过敏性休克。5.停药，平卧，吸氧，保暖，0.1%肾上腺素二选择题1.患者输液时发现寒颤、高热应立即：A.报告医生 B.停止输液 C.拔除输液针 D.报告护士长 E.配合抢救2.发生输液反应应在多长时间内做出书面汇报：A.30 分钟B.1 小时C.2 小时D.4 小时E.3 小时3.发生输液反应后要立即停止输液，更换A.输液针尖B.输液器C.液体D.体位E.输液器和液体4.发生输液反应后要封存：精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 2 页，共 6 页文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6资料收集于网络如有侵权请联系网站删除谢谢精品文档A.病历 B.护理记录 C.输液器 D.输液器和药液 E.药液5.最常见的输液反应是A.过敏反应 B.心脏负荷过重的反应 C.发热反应 D.空气栓塞 E.静脉炎6.输血时发生溶血反应的主要原因是A.血液加热 B.细菌污染 C.剧烈振荡 D.血液储存过久 E.输入异型血7.最严重的输液反应是A.过敏反应 B.心脏负荷过重的反应 C.发热反应 D.空气栓塞 E.静脉炎8.输血引起溶血反应，最早出现的主要表现为A.头部胀痛、面部潮红、恶心、呕吐、腰背部剧痛 B.寒战、高热 C.呼吸困难、血压下降 D.瘙痒、皮疹 E.少尿9.输血引起过敏反应的症状是A.气促咳嗽、咳粉红色泡沫性痰 B.手足抽搐心率缓慢血压下降 C.皮肤瘙痒，荨麻疹，眼睑水肿 D.寒战高热头部胀痛 E.腰背痛少尿10.发生输血反应后要立即停止输血，保持静脉通路，并换上：A.5%葡 萄 糖 氯 化 钠 溶 液B.5%葡 萄 糖 溶 液C.7.5%氯 化 钠 溶 液D.10%葡 萄 糖 溶液 E.0.9%氯化钠溶液11.发生输血反应后，如患者家属有疑问，应立即封存：A.病历 B.护理记录和血袋 C.输血器 D.血袋 E.输血器具和余血12.输血过程中患者主诉畏寒、发热，护士应如何处理：A.立即停止输血，做好记录 B.更换生理盐水 C.减慢输血速度，密切观察，D.拔除针尖，报告护士长E.立即停止输血，更换输血器13.怀疑患者输入异型血时应严密观察：A.患者面色 B.生命体征 C.D.生命体征和尿量 E.生命体征和末梢循环14.患者发生过敏性休克应立即将患者：A.头部抬高15 度 B.下肢抬高20 度 C.平卧 D.半卧位 E.端坐位，下肢下垂15.下列输血反应最严重的是：A.过敏反应 B.细菌污染反应 C.溶血反应 D.发热反应 E.大量输血反应16.药品不良反应是：A.是指合格药品在正常用法大剂量下出现的与用药目的无关的有害反应。B.是指合格药品在正常用法正常剂量下出现的与用药目的有关的有害反应。C.是指合格药品在非常规用法正常剂量下出现的与用药目的无关的有害反应。D.是指合格药品在正常用法正常剂量下出现的与用药目的无关的有害反应。17.以下关于药物变态反应的特点错误的是A.过敏反应发生后，停用致敏药物，轻的反应可较快消退B.已致敏的患者对于该药的致敏性可持续很久C.具有类似结构的药物常可发生交*过敏反应D.大病、创伤或大手术后，某些原来的药物变态反应也可减轻或消除E.药物的过敏反应均可用皮试的方法来测知18.患者做皮试后发生过敏反应应做好A.皮试阳性标识 B.不良反应标识 C.药物过敏标识 D.皮试阳性和药物过敏标识 E.护理记录19.发生药物过敏反应后如果病人家属提出疑议，要保存那些物品送相关部门检查。A.残余药物和抢救记录 B.医嘱单和输液器 C.残余药物和器具 D.输液器和注射器E.护理记录和输液器精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 3 页，共 6 页文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6资料收集于网络如有侵权请联系网站删除谢谢精品文档20.患者李某，因发热、咳嗽，口服阿莫西林0.5mg，半小时后感喉头发紧、呼吸困难，该患者发生了A.胃肠道过敏 B.皮肤过敏 C.呼吸道过敏 D.过敏性休克 E.窒息答案：1B 2D 3E 4D 5C 6E 7D 8A 9C 10E 11E 12E 13D 14C 15C 16D 17E 18D 19C 20C三案例患者郑某，男，48 岁，因黑便3 天、头昏、心慌两个小时，诊断上消化道出血，急诊入院。神志清楚，面色苍白，主诉头昏、上腹不适，T36.8，P92 次/分，R18次/分，BP86/52mmhg,血常规：HB80g/L、RBC3.2*10*12/L，医嘱静脉滴注红细胞2 个单位。输血10ml 后患者主诉头痛、全身不适、腰背酸痛，寒颤、恶心呕吐。1.请问患者发生这一系列症状说明什么？说明患者发生了溶血反应。2.患者为什么会发生这些症状？输入了异型血、输入了变质血、Rh因子所致的溶血。3.当班护士该如何处理？立即停止输血更换输血器，换上生理盐水，同时报告医生、氧气吸入，遵医嘱给予抢救治疗，将余血、患者血标本和尿标本送检。双侧腰部封闭，双侧肾区热敷，留置导尿，密切监测生命体征，做好记录，加强基础护理和心理护理，预防并发症。一、填空题（共5 题）1、各班交接时均要互相进行、交接。2、值班交接班中如发现病情、治疗、器械物品交代不清时，应立即、。3、输血查对制度中“三查十对”，十对：床号、姓名、性别、年龄、住院号、血袋号、血型、。4、静脉用药查对制度中应用特殊药物如：、等应在输液瓶上悬挂特殊药物标识。5、分级护理分为四个级别：、。二、选择题（共20 题）1、对二级护理的患者（）小时巡视一次。A、1 B、2 C、3 D、4 2、应用化疗药物，注入化疗药物前应用（）引导，注射后用（）冲。A、0.9%NS 5%GS B、0.9%NS 0.9%NS C、5%GS 5%GNS D、5%GNS 0.9%NS 3、执行“三查七对一注意”中的“一注意”为：（）A、用药前的过敏史B、配伍禁忌C、用药后的反应D、以上都要4、用药前应检查药品质量、有效期和批号，做到三不用。“三不用”不包括下列哪项：（）A、不用标签不清或无标签药物B、不用变色、浑浊、沉淀药物C、不用可疑药物（剂量、药名不清）D、不用有颜色的药物5、紧急医嘱应在（）分钟时间内执行，要先执行、后签名、签时间。A、5 B、10 C、15 D、20 精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 4 页，共 6 页文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6资料收集于网络如有侵权请联系网站删除谢谢精品文档6、注射青霉素必须遵医嘱做过敏试验，（）天未使用青霉素必须重做皮试。A、1 B、2 C、3 D、4 7、两袋血之间一定要输入一定量的（），防止交叉反应。A、5%GNS B、5%GS C、0.9%NS D、灭菌用水8、皮试阳性者需做好哪些标识：（）A、护士办公室白板上B、病人床头C、住院病历夹封面及体温单上D、以上都要9、需床前重点交接的病人，下列哪项除外：（）A、危重、抢救B、昏迷、大手术C、瘫痪、分娩D、康复期患者10、血制品从血库中取出后（）分钟内输入。A、30 B、60 C、90 D、120 11、输血查对制度中“七注意”，下列哪项除外：（）A、不能剧烈摇晃B、输血完毕，输血袋送血库C、输血过程中严密观察，听取病人主诉D、能加温12、下列不属于一级护理的患者是哪项：（）A、病情趋向稳定的重症患者B、病情稳定，仍需卧床的患者C、生活完全不能自理且病情不稳定的患者D、手术后或治疗期间需要严格卧床的患者13、哪些特殊口服药物必须确保病人正确服用：（）A、抗心律失常药B、利尿药C、激素、抗菌素D、以上都要14、医嘱查对制度中，护士长（）天查核一次。A、1 B、3 C、5 D、7 15、皮下、肌肉注射查对制度中，不正确的是：（）A、核对注射单与医嘱一致性B、核对药物有无变质、浑浊C、同时应用两种以上药物时，应先注射刺激性大的药物D、选择正确的注射部位和适宜的注射用具16、皮试阳性者应立即通知：（）A、医师B、病人C、家属D、以上都要17、输血查对制度中“三查十对”，三查不包括下列哪项：（）A、血的有效期B、操作中查C、血的质量D、输血装置是否完好18、当班护士应停止以前所有医嘱的情况包括：（）A、手术、分娩B、转科C、出院或死亡D、以上都要19、新生儿查对制度中，每位婴儿出生按常规先给（）看。A、父亲B、母亲C、爷爷D、奶奶20、一级护理患者的护理要点不包括下列哪项：（）A、每小时巡视患者，观察患者病情变化B、每 2 小时巡视患者，观察患者病情变化C、根据患者病情，测量生命体征D、根据医嘱，正确实施治疗、给药措施精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 5 页，共 6 页文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6资料收集于网络如有侵权请联系网站删除谢谢精品文档三、案例分析（共1 题）某护士在给某患者输血10 分钟时，患者主诉腰背部酸痛，试问该患者发生了什么反应？如何杜绝？答案：一、填空题：1、书面、口头、床前2、查实、确认3、血袋号、血型、血液成分剂量、有效期、交叉配血试验结果4、生物制剂、硝酸甘油5、特级护理、一级护理、二级护理、三级护理二、选择题：1B 2B 3D 4D 5C 6A 7C 8D 9D 10A 11D 12B 13D 14D 15C 16D 17B 18D 19B 20B 三、案例分析：1）、溶血反应。2）、输血前必须经两人共同执行“三查十对”并签名，严格执行输血规范和要求。三查：血的有效期、血的质量和输血装置是否完好。十对：床号、姓名、性别、年龄、住院号、血袋号、血型、血液成分剂量、有效期、交叉配血试验结果。七注意：1、血制品从血库中取出后30 分钟内输入。2、不能加温和剧烈摇晃。3、输血前后均应输入少量生理盐水。4、输血开始，应缓慢输入，观察病人5-10 分钟无异常方可离开5、输血过程中严密观察，听取病人主诉。精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 6 页，共 6 页文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 ZS8T9F9N8F6文档编码:CX9P8V4T2E3 HM8Q5D2Y4M8 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