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NCLEX 注册护士 每天一考题50系列 (01)附中英文稿
01.
The nurse who is caring for a client with kidney failure notes that the client is dyspneic,
and crackles are heard on auscultation of the lungs.
Which additional signs / symptoms should the nurse expect to note in this client?
1. Rapid weight loss
2. Flat hand and neck veins
3. A weak and thready pulse
4. An increase in blood pressure
照顾患有肾功能衰竭的服务对象的护士注意到，病人患有呼吸困难，
在肺部听诊时听到crack啪声。
护士应该在此病人关注哪些其他体征/症状？
1.快速减肥
2.手和颈静脉扁平
3.脉搏微弱
4.血压升高
Answer. 4
Impaired cardiac or kidney function can result influid volume excess.
Findings associated with fluid volume excess include cough, dyspnea, crackles, tachypnea, tachycardia, an elevated blood pressure, a bounding pulse, an elevated central venous pressure, weight gain, edema, neck and hand vein distention, an altered level of consciousness, and a decreased hematocrit level.
答案 = 4
心脏或肾脏功能受损可导致进液量过多。
发现与体液量过多相关的包括
咳嗽，呼吸困难，crack裂，呼吸急促，
心动过速，血压升高，边界脉搏，中心静脉压升高，
体重增加，水肿，颈部 和 手部静脉扩张，
意识水平 改变 以及 血细胞 比容降低。
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