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[Hardware] Nursing ACNS学習関連題、ACNS最新知識

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【Hardware】 Nursing ACNS学習関連題、ACNS最新知識

Posted at 10 hour before      View：22 | Replies：0        Print      Only Author   [Copy Link] 1#
IT 職員のそれぞれは昇進または高給のために頑張っています。これも現代社会が圧力に満ちている一つの反映です。そのためにNursingのACNS認定試験に受かる必要があります。適当なトレーニング資料を選んだらこの試験はそんなに難しくなくなります。JpexamのNursingのACNS「ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)」試験トレーニング資料は最高のトレーニング資料で、あなたの全てのニーズを満たすことができますから、速く行動しましょう。
もしあなたはIT業種でもっと勉強になりたいなら、Jpexamを選んだ方が良いです。JpexamのNursingのACNS試験トレーニング資料は豊富な経験を持っている専門家が長年の研究を通じて開発されたものです。それは正確性が高くて、カバー率も広いです。JpexamのNursingのACNS試験トレーニング資料を手に入れたら、成功に導く鍵を手に入れるのに等しいです。
ACNS最新知識、ACNS最新な問題集あなたはどのような方式で試験を準備するのが好きですか。PDF、オンライン問題集または模擬試験ソフトですか。我々Jpexamはこの3つを提供します。すべては購入した前で無料でデモをダウンロードできます。ふさわしい方式を選ぶのは一番重要なのです。どの版でもNursingのACNS試験の復習資料は効果的なのを保証します。
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) 認定 ACNS 試験問題 (Q160-Q165):質問 # 160
A 39-year-old Caucasian male is started on Aldactone 50 mg PO qd. He has a longstanding history of hypertension. The ACNS knows that she should instruct him to call the clinic if which symptoms are experienced?
  • A. Increased irritability, abdominal cramping, and lower extremity weakness.
  • B. Muscle twitching, numbness of the limbs, and depression.
  • C. Decreased reflex response, nausea, and vomiting.
  • D. Weight gain, excessive thirst, and fever.
正解：A
解説：
**Aldactone, also known by its generic name spironolactone, is a medication commonly used in the management of hypertension and certain cases of heart failure. It belongs to the class of drugs known as potassium-sparing diuretics. Unlike other diuretics, which increase the excretion of potassium, Aldactone reduces the excretion of potassium from the body. This characteristic can lead to an increase in potassium levels in the blood, a condition known as hyperkalemia.** **Hyperkalemia is potentially a serious condition and can manifest with various symptoms that the patient needs to be aware of. These include increased irritability, abdominal cramping, and weakness in the lower extremities. These symptoms reflect the systemic impact of elevated potassium levels on the neuromuscular and cardiovascular systems. Increased potassium levels can affect nerve conduction and muscle function, leading to symptoms such as muscle weakness and cramps. Irritability and other mood changes can also occur, reflecting the neurological impact of high potassium levels.** **It is crucial for patients taking Aldactone to recognize the signs of hyperkalemia early because severe hyperkalemia can lead to life-threatening conditions such as cardiac arrhythmias. Instructing patients to monitor for these symptoms and to seek immediate medical attention if they occur helps in the early detection and management of hyperkalemia.** **The other symptoms listed in the question, such as decreased reflex response, nausea, vomiting, muscle twitching, numbness of the limbs, depression, weight gain, excessive thirst, and fever, are not directly associated with the side effects of Aldactone or its mechanism of action in the context of hyperkalemia. While some of these could be associated with other medical conditions or medication side effects, they are not typically indicative of elevated potassium levels caused by the use of a potassium-sparing diuretic like Aldactone.** **Thus, the correct answer, as noted, is increased irritability, abdominal cramping, and lower extremity weakness. This highlights the importance for healthcare providers to educate patients on the potential signs of hyperkalemia when prescribing Aldactone, ensuring patient safety and prompt intervention should adverse effects arise.**

質問 # 161
What is the best measure the Adult Clinical Nurse Specialist can take when communicating with a culturally diverse patient who speaks a different language?
  • A. Speak to the patient and family together in hopes that some communication will occur.
  • B. Arrange for an interpreter.
  • C. Speak slowly and loudly.
  • D. Use gestures and pictures that are available.
正解：B
解説：
When an Adult Clinical Nurse Specialist encounters a patient who speaks a different language, ensuring effective communication is crucial for accurate assessment and providing quality care. The most effective strategy in this scenario is to arrange for an interpreter. This approach respects the patient's cultural and linguistic background and facilitates accurate and efficient communication between the nurse and the patient.
Using an interpreter helps to overcome language barriers that can lead to misunderstandings or misinterpretations of medical information. It ensures that the patient fully understands the health information, diagnoses, and treatment options being discussed. This is vital for gaining informed consent and for the patient's active participation in their care plan.
It is important to note that speaking slowly and loudly to someone who does not understand the language does not improve understanding. Instead, it can cause frustration and may be perceived as patronizing or disrespectful. Similarly, relying on family members to translate can lead to incomplete or incorrect translations due to lack of medical knowledge or emotional bias.
In contrast, professional interpreters are trained to handle medical terminology and sensitive information, maintaining confidentiality and accuracy. They can also help navigate cultural nuances that may impact patient care. Therefore, arranging for an interpreter is not just about language translation but also about ensuring cultural competence in healthcare provision.
Additionally, while using gestures and pictures can be helpful in some situations, they cannot substitute for comprehensive verbal communication facilitated by an interpreter. Visual aids are supplementary tools and should not be the primary method of communication in complex and nuanced medical discussions.
In conclusion, arranging for an interpreter is the best and most respectful approach when dealing with culturally diverse patients who speak a different language. This practice promotes understanding, patient safety, and quality of care, and it upholds the principles of equity and dignity in healthcare settings.

質問 # 162
Of the following, which is an example of an impaired absorption reason contributing to iron deficiency?
  • A. Epistaxis.
  • B. Goodpasture syndrome.
  • C. Multiple gestation.
  • D. Gastrectomy.
正解：D
解説：
Of the various conditions listed, gastrectomy is uniquely associated with impaired absorption of iron, contributing to iron deficiency. Gastrectomy, the surgical removal of all or part of the stomach, can significantly affect the body's ability to absorb nutrients, including iron. This is because the stomach plays a crucial role in the initial stages of iron absorption. During digestion, stomach acids help convert dietary iron into a form that is more easily absorbed in the intestines. With reduced stomach capacity or altered stomach function following gastrectomy, there is a decreased secretion of gastric acid, which is essential for iron absorption.
In contrast, the other conditions mentioned-Goodpasture syndrome, multiple gestation, and epistaxis-do not primarily involve impaired nutrient absorption. Goodpasture syndrome is an autoimmune disorder affecting the lungs and kidneys, leading to bleeding in the lungs and kidney dysfunction, but it does not directly impair gastrointestinal nutrient absorption. Multiple gestation increases the demand for iron due to the needs of more than one fetus, potentially leading to deficiency if the increased demand is not met through diet or supplements. However, it does not inherently affect the absorption processes in the digestive tract. Epistaxis, commonly known as nosebleeding, can cause iron deficiency through chronic blood loss, but again, it does not impact the absorption of iron in the gastrointestinal system.
Therefore, among the options provided, gastrectomy is the correct answer as it directly relates to an impaired absorption mechanism contributing to iron deficiency. This understanding highlights the importance of monitoring and potentially supplementing iron in patients who have undergone this surgical procedure to prevent or address iron deficiency anemia.

質問 # 163
A patient who is two weeks post-aortic valve replacement asks when he can resume his normal activities. He is recovering well and complying with his regimen of platelet inhibitors and blood pressure medication. He is especially keen to get back to playing on his community rugby team. What is the appropriate guidance for this patient?
  • A. Tell the patient that he can resume normal activity whenever he feels ready.
  • B. Tell the patient that he can resume most activity within 3 months, but he must avoid contact sports due to the increased risk of bleeding due to his medication.
  • C. Tell the patient that he can resume normal activity within 6 weeks of surgery.
  • D. Tell the patient that he can resume full activity within 3 months of surgery.
正解：B
解説：
The appropriate guidance for a patient who has undergone aortic valve replacement and is on a regimen of platelet inhibitors and blood pressure medication, particularly one keen to return to playing community rugby, involves several considerations. Firstly, it is crucial to understand the typical recovery timeline post-aortic valve replacement and the specific risks associated with the medications prescribed during recovery.
Generally, patients can resume most of their normal, non-strenuous activities within 3 months after surgery. This timeline allows the surgical site to heal adequately and the body to adjust to the new valve. Activities such as walking, light jogging, and non-contact sports can usually be reintegrated into the patient's routine within this period, pending approval from the healthcare provider.
However, contact sports like rugby present a higher risk for a person who has recently undergone heart surgery and is taking platelet inhibitors. Platelet inhibitors, such as aspirin or clopidogrel, are prescribed to prevent platelet aggregation, reducing the risk of thrombosis (clot formation) on the new valve. While these medications are vital for preventing complications such as stroke or valve thrombosis, they significantly increase the risk of bleeding. In the context of contact sports, even minor traumas-which are common in games like rugby-can lead to severe bleeding episodes or internal hemorrhage.
Therefore, it is crucial to advise the patient that while he can resume most of his normal activities within 3 months, participating in contact sports should be avoided as long as he is on platelet inhibitors. The duration of treatment with platelet inhibitors can vary based on the type of valve replacement (mechanical vs. biological) and other individual health factors, so continuous consultation with healthcare providers about when it might be safe to return to contact sports is essential.
In summary, the patient should be encouraged to gradually return to non-strenuous activities as his recovery progresses. However, he must understand the importance of avoiding contact sports due to the elevated risk of bleeding associated with his current medication regimen. Regular follow-ups with his cardiology team will be crucial in adjusting his treatment plan and activity level safely.

質問 # 164
You are conducting an assessment with a patient and notice several flat, colored areas on the skin. These are not large, nor are they raised or textured. These should be charted as which of the following?
  • A. Macules.
  • B. Papules.
  • C. Plaques.
  • D. Pustules.
正解：A
解説：
When observing skin conditions, it is essential to correctly identify and chart the types of lesions present. In the scenario described, the skin features observed are flat, colored areas that are not raised or textured. These characteristics fit the description of macules.
Macules are defined as flat spots on the skin that are distinctly different in color from the surrounding skin. They are usually less than 1 centimeter in diameter and can be of any color. Macules are a common type of skin lesion and can be a result of various factors, including genetic conditions, pigmentary disorders, infections, or inflammatory processes.
It is crucial to differentiate macules from other types of skin lesions such as papules, plaques, and pustules. Papules are small, raised lesions that are usually less than 1 centimeter in diameter. Unlike macules, papules are palpable above the surface of the skin. Plaques are larger than 1 centimeter and are also raised, often forming from a confluence of papules. Pustules are similar to papules but contain pus.
Given these descriptions, the correct way to chart the observed skin features in the question is as macules. This is because they match the definition of being small, flat, and colored without any elevation or textural change. Accurate documentation of such findings is crucial in the medical field for proper diagnosis, treatment, and monitoring of skin conditions.

質問 # 165
......
ACNS試験問題のヒット率は非常に高く、もちろん合格率も非常に高くなります。製品を選択する前に、独自の合格率を比較しておく必要があります。 ACNS学習資料は、リストの一番上に表示される必要があります。また、ACNS学習クイズの合格率は99％です。これは私たちの努力の結果であり、ユーザーへの最高の贈り物です。私たちのACNS学習教材は非常に高い合格率を持つことができ、すべてのメンバーが最初に顧客の概念を支持するのは段階的な結果です。 ACNSトレーニング準備の試用版を使用する場合は、購入することをお勧めします！
ACNS最新知識: https://www.jpexam.com/ACNS_exam.html
アフターサービス、多くの人はNursingのACNS試験への準備に悩んでいます、そのため、クライアントは、テストに合格した後、ACNS調査の質問に感謝しなければなりません、あなたがするべきことは、JpexamのNursingのACNS試験トレーニング資料に受かるのです、Nursing ACNS学習関連題 我々はお客様のプライバシーを保護しています、Nursing ACNS学習関連題 あなたが探したい資料をすべて手に入れることができます、効果的な勤勉さが結果に正比例することは誰もが知っているので、長年の勤勉な作業によって、専門家は頻繁にテストされた知識を参考のためにACNS実践資料に集めました、ACNS学習教材を購入し、しばらくの間辛抱強く学習すれば、わずかな失敗確率でACNSテストに合格することを保証できます。
月島はまるで俺の心の底を見通そうとしているかのように、澄んだ目で俺の顔を眺め続ている、走っている電車です》 愁斗君がいる駅から一つ前の駅から、愁斗君のいる駅方向へ 場所は、アフターサービス、多くの人はNursingのACNS試験への準備に悩んでいます。
実用的なACNS学習関連題 | 最初の試行で簡単に勉強して試験に合格する & 効率的なNursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)そのため、クライアントは、テストに合格した後、ACNS調査の質問に感謝しなければなりません、あなたがするべきことは、JpexamのNursingのACNS試験トレーニング資料に受かるのです、我々はお客様のプライバシーを保護しています。
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