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发布时间:2023-11-05 01:21:26

[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

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[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]While caring for pregnant adolescents, the nurse should develop a plan of care that incorporates which health concern
A. Age of menarche.
B. Family and home life.
C. Healthy eating habits.
D. Level of emotional maturity.
[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 the puncture site of a client who has received a purified protein derivative test. Which finding indicates a need for further evaluation
A. 15-mm induration.
B. Reddened area.
C. 10-mm bruise.
D. Blister.
[单项选择]When assessing a client with chest pain, the nurse obtains a thorough history. Which statement by the client is most suggestive of angina pectoris
A. "The pain lasted for about 45 minutes. "
B. "The pain resolved after I ate a sandwich. "
C. "The pain worsened when I took a deep breath. "
D. "The pain occurred while I was mowing the lawn. "
[单项选择]The nurse is assessing a 71-year-old female client with ulcerative colitis. Which assessment finding related to the family will have the greatest impact on the client's rehabilitation after discharge ?()
A. The family's ability to take care of the client's special diet needs.
B. The family's expectation that the client will resume responsibilities and role-related activities.
C. Emotional support from the family.
D. The family's ability to understand the ups and downs of the illness.
[单项选择]The nurse is developing a discharge plan for a client who had cataract removal. Which of the following should be included in the discharge plan
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B. Wear corrective glasses or contact lenses.
C. Wear glasses only until the eye heals.
D. Relearn to judge distances accurately.
[单项选择]The nurse is providing care for a pregnant client in her second trimester. Glucose tolerance test results show a blood glucose level of 160 mg/dL. The nurse should anticipate that the client will need to
A. start using insulin.
B. start taking an oral antidiabetic drug.
C. monitor her urine for glucose.
D. be taught about diet.
[单项选择]The nurse is assessing a 15-year-old female who is being admitted for treatment of anorexia nervosa. Which of the following clinical manifestation is the nurse most likely to find from the client
A. Tachycardia.
B. Coarse hair growth.
C. Parotid gland tenderness.
D. Warm, flushed extremities.
[单项选择]The nurse is assessing an 8-month-old during a wellness checkup. Which of the following is a normal developmental task for an infant this age
A. Sitting without support.
B. Saying two words.
C. Feeding himself with a spoon.
D. Playing patty-cake.
[单项选择]A nurse in a prenatal clinic is assessing a 28-year-old woman who is 24 weeks pregnant. Which of the following findings would lead this nurse to suspect that the client has mild preeclampsia
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B. Glycosuria, hypertension, seizures.
C. Hematuria, blurry vision, reduced urine output.
D. Burning on urination, hypotension, abdominal pain.

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