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发布时间:2023-12-05 04:08:11

[单项选择]The nurse is preparing a gastric lavage for a comatose victim of the car accident. Which of the following positions would be most appropriate for the client during this procedure

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[单项选择]The nurse is preparing an elderly client to get out of bed on the first postoperative day after a total hip replacement. Which of the following activities would be most helpful to the client
A. Demonstrate the use of a walker with partial weight bearing.
B. Explain to the client that she will be lifted out of bed to a chair.
C. Reassure the client that she will be assisted to walk to the hall.
D. Demonstrate the swing-through crutch-walking gait with limited weight hearing.
[单项选择]A nurse in the nursery is preparing to perform phenylketonuria (PKU) testing. Which neonate is ready for the nurse to test ?()
A. A 3-day-old neonate who has been fed IV since birth.
B. A 2-day-old neonate who has been breast-fed.
C. A 1-day-old neonate receiving formula.
D. A breast-fed neonate being discharged within 24 hours of birth.
[单项选择]The nurse preparing to give a child an intramuscular injection chooses to give the injection into the gluteal muscle. The site is acceptable because which of the following reasons
A. The child has been walking for 1 year.
B. The child has small deltoid muscles.
C. The child is older than 2 years.
D. The child weighs more than 25 pounds.
[单项选择]The nurse is preparing to remove a previously applied topical medication from a client. The rationale for removing previously applied topical medications before applying new medications is to ().
A. decrease the possibility of absorption on the nurse's skin.
B. allow distribution of medication.
C. prevent soiling of the client's clothes.
D. avoid administering more than the prescribed dose.
[单项选择]The nurse is preparing the client with a cerebrovascular accident for discharge to home. The nurse should recognize which of the following factors would most likely influence the client's continuing progress in rehabilitation at home
[单项选择]The nurse is preparing the client with heart failure to go home. Which of the following should be most important to include in the discharge education
A. Monitor urine output daily.
B. Monitor daily potassium intake.
C. Maintain bed rest for at least 1 week.
D. Weigh daily.
[单项选择]The nurse is preparing a treatment plan for a client taking oral corticosteroids to control severe chronic asthma. Which statement indicates that the client understands his treatment plan ?()
A. "I should take corticosteroids on an empty stomach. "
B. "I need to take corticosteroids to help build up my immune system. "
C. "I should stop taking corticosteroids if I haven't had an asthma attack for 1 week. "
D. "I'll tell my other health care providers that I'm taking a corticosteroid. "
[单项选择]The nurse is preparing to discharge a child who has rheumatic fever. Which of the following medications is prescribed to prevent recurrence of rheumatic fever ?()
A. Glucocorticoids.
B. Digoxin.
C. Antibiotics.
D. Anti-inflammatory medications.
[单项选择]The nurse is preparing to begin one-person cardiopulmonary resuscitation. The nurse should first
A. establish unresponsiveness.
B. call for help.
C. open the airway.
D. assess the client for a carotid pulse.
[单项选择]The nurse is preparing to administer a unit of blood to a client who is anemic. After its removal from the refrigerator, the blood should be administered within
A. 1 hour.
B. 2 hours.
C. 4 hours.
D. 6 hours.
[单项选择]The nurse is preparing to care for a client diagnosed with catatonic schizophrenia. In anticipation of this client's arrival, what should the nurse do
[单项选择]The head nurse is observing a new graduate nurse instill eye drops into a client's eyes. The head nurse evaluates that the new graduate is using appropriate technique when which of the following steps is incorporated into the procedure
[单项选择]A client asks the nurse what PSA is. The nurse should reply that it stands for
A. prostate-specific antigen, used to screen for prostate cancer.
B. protein serum antigen, used to determine protein levels.
C. pneumococcal strep antigen, a bacteria that causes pneumonia.
D. papanicolaou-specific antigen, used to screen for cervical cancer.
[单项选择]The nurse is teaching a student nurse in a mental health unit about how to establish a therapeutic nurse-client relationship. Which of the following is of prior importance in the therapeutic nurse-client relationship
[单项选择]The nurse administers a preoperative intramuscular medication at the ventrogluteal site. The nurse will inject the medication into which muscle
A. Rectus femoris.
B. Gluteus maximus.
C. Gluteus minimus.
D. Vastus lateralis.
[单项选择]The nurse is administering sublingual nitroglycerin (Nitrostat) to the client. Immediately afterward, the client may experience which of the following symptoms
A. Nervousness or paresthesia.
B. Throbbing headache or dizziness.
C. Drowsiness or blurred vision.
D. Tinnitus or diplopia.
[单项选择]The nurse should anticipate which psychological reactions during the second trimester of pregnancy ?()
A. Self-centeredness and concentration on the behavior and appearance of children.
B. Extroversion and emotional lability.
C. Ambivalence and uncertainty.
D. Dismay over body image and readiness for the end of pregnancy.
[单项选择]After gastric resection surgery, which of the following signs and symptoms would alert the nurse to the development of a leaking anastomosis
A. Pain, fever, and abdominal rigidity.
B. Diarrhea with fat in the stool.
C. Palpitations, pallor, and diaphoresis after eating.
D. Feelings of fullness and nausea after eating.
[单项选择]A client is recovering from a gastric resection for peptic ulcer disease. Which of the following outcomes indicates that the goal of adequate nutritional intake is being achieved 3 weeks following surgery
A. Increases food intake and tolerance gradually.
B. Experiences occasional episodes of nausea and vomiting.
C. Experiences a rapid weight gain within 1 week.
D. Drinks 2000 mL/day of water.

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