更多"The nurse is assessing the puncture"的相关试题:
[单项选择]While performing rounds, a nurse finds that a client is receiving the wrong IV solution. The nurse's initial response should be to
A. remove the IV catheter and call the physician.
B. write up an incident report describing the mistake.
C. slow the IV flow rate and hang the appropriate solution.
D. wait until the next bottle is due and then change to the proper solution.
[单项选择]The nurse is assessing a postcraniotomy client and finds the urine output from a catheter is 1,500 mL for the 1st hour and the same for the 2nd hour. The nurse should suspect
[单项选择]The nurse is assessing a client diagnosed with appendicitis. Which of the following signs or symptoms should the nurse expect to find ？（）
A. Rigid abdomen, Levine's sign, pain relief leaning forward.
B. Rebound tenderness, McBurney's sign, low-grade fever.
C. Right lower quadrant pain, Chvostek's sign, muscle guarding.
D. Periumbilical pain, Trousseau's sign, pain relief with pressure.
[单项选择]The nurse is assessing a client with possible Cushing's syndrome. In a client with Cushing's syndrome, the nurse would expect to find （）.
A. hypotension.
B. thick, coarse skin.
C. deposits of adipose tissue in the trunk and dorsocervical area.
D. weight gain in arms and legs.
[单项选择]The nurse is assessing a client with possible osteoarthritis. The most significant risk factor for osteoarthritis is （）.
A. congenital deformity.
B. age.
C. trauma.
D. obesity.
[单项选择]The nurse is assessing an elderly client for dementia. Which of the following is a primary symptom of dementia
A. Neurosis.
B. Loss of impulse control.
C. Psychosis.
D. Memory loss.
[单项选择]The nurse is assessing a client suffering from stress and anxiety. A common physiological response to stress and anxiety is
A. sedation.
B. diarrhea.
C. vertigo.
D. urticaria.
[单项选择]The nurse is assessing a client with heart failure. The breath sounds commonly auscultated in clients with heart failure are
A. tracheal.
B. fine crackles.
C. coarse crackles.
D. friction rubs.
[单项选择]The nurse is assessing a neonate. Health history findings indicate that the mother drank 3 oz (88.7mL) or more of alcohol per day throughout her pregnancy. Which characteristic should the nurse expect to find ？（）
A. Prominent nasal bridge.
B. Thick upper lip.
C. Upturned nose.
D. Large for gestational age.
[单项选择]The nurse is assessing a client who gave birth yesterday. Where should the nurse expect to find the top of the client's fundus ？（）
A. One fingerbreadth above the umbilicus.
B. One fingerbreadth below the umbilicus.
C. At the level of the umbilicus.
D. Below the symphysis pubis.
[单项选择]The nurse is assessing a client with an ileal conduit. She notes that the client's urinary appliance contains pale yellow urine with large amounts of mucus. How would the nurse best interpret these data
A. These findings are normal for the client.
B. There is irritation of the stoma.
C. The client is developing an infection of the urinary tract.
D. The mucus is caused by elevated levels of glucose in the urine.
[单项选择]The nurse is assessing a pregnant woman in the clinic. In the course of the assessment, the nurse learns that this woman smokes one pack of cigarettes per day. Which of the following is the first step the nurse should take to help the woman stop smoking
[单项选择]The nurse is providing preoperative care to a client scheduled for an appendectomy. Which statement regarding pain control is most appropriate ？（）
A. "There's no need to ask for pain medication, you'll receive it on a schedule. "
B. "Take your pain medication after walking so that you won't feel dizzy. "
C. "Take your pain medication before your pain becomes intense. "
D. "Use as little pain medication as possible to avoid addiction. "
[单项选择]The nurse must assess judgment to determine a client's mental status. Which test best accomplishes this
A. Interpreting proverbs.
B. Spelling words backward.
C. Counting by serial sevens.
D. Discussing hypothetical ethical situations.
[单项选择]The nurse is developing a teaching plan for a client diagnosed with diabetes insipidus. The nurse should include information about which hormone, commonly lacking in clients with diabetes insipidus ？（）
A. Antidiuretic hormone (ADH).
B. Thyroid-stimulating hormone (TSH).
C. Follicle-stimulating hormone (FSH).
D. Luteinizing hormone (LH).
