更多"The nurse is assessing a client dia"的相关试题:
[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 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]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 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 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]When assessing a client with partial thickness burns over 60% of the body, which of the following should the nurse report immediately
A. Complaints of intense thirst.
B. Moderate to severe pain.
C. Urine output of 70 mL the 1st hour.
D. Hoarseness of the voice.
[单项选择]While assessing a client who complained of lower abdominal pressure, the nurse notes a firm mass extending above the symphysis pubis. The nurse suspects
A. a urinary tract infection.
B. renal calculi.
C. an enlarged kidney.
D. a distended bladder.
[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 teaching a client recently diagnosed with myasthenia gravis. The nurse should teach the client that myasthenia gravis is caused by
A. genetic dysfunction.
B. upper and lower motor neuron lesions.
C. decreased conduction of impulses in an upper motor neuron lesion.
D. a lower motor neuron lesion.
[单项选择]The nurse is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is to
A. avoid shopping for large amounts of food.
B. control eating impulses.
C. identify anxiety-causing situations.
D. eat only three meals per day.
[单项选择]The nurse is caring for a client diagnosed with body dysmorphic disorder. When the client verbalizes disapproval of her physical features, the nurse should
A. encourage verbalizations about fears and stressful life situations.
B. agree with the client because she feels a specific physical feature is awful.
C. ignore the comment and talk about less threatening issues.
D. compliment the client on her appearance.
[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]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 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. The first step the nurse should take to help the woman stop smoking is to （）.
A. assess the client's readiness to stop.
B. suggest that the client reduce the daily number of cigarettes smoked by one-half.
C. provide the client with the telephone number of a formal smoking cessation program.
D. help the client develop a plan to stop.
[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 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.
