更多"A client is admitted to the labor a"的相关试题:
[单项选择]A client is being admitted to the labor unit. Because she's well advanced in labor, the nurse must prioritize the admission questions. Which information is most important to obtain when birth is imminent
A. Duration of previous labor.
B. Frequency of contractions.
C. Presence of bloody show.
D. Expected due date.
[单项选择]A client in labor received an epidural anesthetic when her dilation reached 5 cm. Which of the following nursing diagnoses would have the highest priority for her at this time
A. Impaired skin integrity related to inability to move lower extremities.
B. Impaired urinary elimination related to the effects of the epidural.
C. Deficient knowledge related to lack of information about regional anesthesia.
D. Risk for injury related to hypotension secondary to vasodilation and pooling in extremities.
[单项选择]Assessment of a client in active labor reveals meconium-stained amniotic fluid and fetal heart sounds in the upper right quadrant. Which of the following is the most likely cause of this situation
A. Breech position.
B. Late decelerations.
C. Entrance into the second stage of labor.
D. Multiple gestation.
[单项选择]A psychiatric client who was voluntarily admitted now wishes to be discharged from the hospital, against medical advice. What's the most important assessment the nurse should make of the client ？（）
A. Ability to care for himself.
B. Degree of danger to self and others.
C. Level of psychosis.
D. Intended compliance with aftercare.
[单项选择]A multigravid client in active labor is about to deliver. The nurse has no help immediately available. What should the nurse do first
A. Prepare a clean area on which to deliver the neonate.
B. Lower the head of the bed to a flat position.
C. Have the client push with a contraction.
D. Ask the client to take a deep breath and hold it.
[单项选择]A client admitted for a hysterectomy has a secondary diagnosis of Ménière s disease. Which of the following nursing interventions should the nurse include in the client's plan of care to decrease the effects of tinnitus
A. Reduce the amount of glucose and cholesterol in the diet.
B. Encourage the client to listen to the radio with earphones.
C. Encourage a weight-reduction diet.
D. Administer antihypertensive medications as ordered.
[单项选择]The nurse is interviewing a client admitted to the facility with a diagnosis of schizophrenia. The client states, "I run apple, train, grass, window. " This response by the client is known as
A. echopraxia.
B. a word salad.
C. flight of ideas.
D. neologisms.
[单项选择]A client is admitted for detoxification after a cocaine overdose. The client tells the nurse that he frequently uses cocaine but that he can control his use if he chooses. Which coping mechanism is he using ？（）
A. Withdrawal.
B. Logical thinking.
C. Repression.
D. Denial.
[单项选择]A client is admitted for a suspected eating disorder. Which of the following statements would indicate that the client may be suffering from anorexia nervosa ？（）
A. "I've gained 3 pounds in the last month. "
B. "I eat loads of spinach and yellow vegetables each day. "
C. "I'm a perfectionist, and I work hard to get A's. "
D. "I binge frequently in the morning and feel fat. "
[单项选择]A client is admitted to the psychiatric unit with a diagnosis of anorexia nervosa. Although she is 5'7" and weighs only 100 lb, she keeps on telling the nurse about how fat she is. What should the nurse do first
[单项选择]A client is admitted with a suspected diagnosis of an acute myocardial infarction. When providing care for the client, the nurse should avoid which route when taking a temperature
A. Oral.
B. Rectal.
C. Axillary.
D. Tympanic.
[单项选择]A client is admitted to the hospital for treatment of Prinzmetal's angina. When developing the client's plan of care, the nurse should remember that this type of angina is triggered by
A. coronary artery spasm.
B. an unpredictable amount of activity.
C. activities that increase oxygen demand.
D. an unknown source.
[单项选择]A client is admitted to the emergency department with a suspected overdose of an unknown drug. The client's arterial blood gas values indicate respiratory acidosis. What should the nurse do first
[单项选择]A client is admitted with atrial fibrillation. The physician noted a pulse deficit. The pulse deficit measures which of the following
A. The difference between apical and radial pulse rates.
B. The difference between systolic and diastolic blood pressures.
C. The amount of blood ejected from the left ventricle per minute.
D. The percentage of blood emptied from the ventricle during contraction.
[单项选择]The client was admitted with severe head injury resulting from a motor vehicle accident. The client is presently unconscious. To facilitate rehabilitation when the client's condition allows, the nurse should
A. maintain limbs in the position of function.
B. apply restraints to arms and legs to control spasms.
C. exercise just the arms as the legs maintain their tone longer.
D. notify physical therapy as soon as the physician orders passive range of motion.
[单项选择]A client is admitted with a diagnosis of delusions of grandeur. This diagnosis reflects the client has a belief that he is
A. highly important or famous.
B. being persecuted.
C. connected to events unrelated to himself.
D. responsible for the evil in the world.
[单项选择]A client is admitted for an overdose of amphetamines. When assessing this client, the nurse should expect to have which of the following findings
A. Tension and irritability.
B. Slow pulse.
C. Hypotension.
D. Constipation.
[单项选择]An unconscious client has been admitted with a head injury. Which of the following nursing diagnoses would receive the greatest priority in the plan of care
A. Disturbed sensory perception related to decreased level of consciousness.
B. Ineffective airway clearance related to inability to remove respiratory secretions.
C. Impaired gas exchange related to shallow irregular breathing.
D. Risk for injury related to disorientation and decreased level of consciousness.
