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1. A patient is admitted with hypotension, tachycardia, and intermittent confusion. Upon arrival, the patient asks to walk to the bathroom. Which of the following is a nurse's best action?

A) Assess the patient's vital signs and ask the physician for an order for activity.
B) Conduct a fall risk assessment and institute appropriate interventions.
C) Situate the patient in bed and provide a bed pan.
D) Encourage the patient to walk independently to the bathroom to enhance early mobility.

2. A ventilator-associated event (VAE) is best prevented by

A) minimizing tube feedings.
B) subglottic suctioning.
C) tracheal instillation of normal saline.
D) changing ventilator tubing daily.

3. In a patient with status asthmaticus, which of the following indicate a deteriorating condition?

A) decreased PaCO2 and increased minute ventilation
B) increased PaCO2 and decreased expiratory flow
C) increased compliance and respiratory acidosis
D) respiratory alkalosis and increased expiratory flow

4. The family of a patient requests permission to administer traditional herbs to the patient. Which of the following should be the nurse's first action?

A) Obtain an order for the herbs.
B) Consult with the pharmacist on the effects of the specific herbs.
C) Inform the family that herbal therapy is not appropriate in the hospital.
D) Allow the patient to take the herbs because they are natural.

5. The most appropriate therapy for carboxyhemoglobinemia is

A) hyperventilation.
B) inhaled corticosteroids.
C) aerosolized beta-agonists.
D) 100% O2 administration.

問題與答案：