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发布时间:2023-11-14 19:40:29

[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. "

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[单项选择]The nurse is providing home care to a client with failing vision due to macular degeneration. The nurse is concerned about the client's safety. Which of the following activities would help to lessen the client's risk of falling ?()
A. Arranging pieces of furniture close together so the client can use them for guidance and support.
B. Encouraging the client to wear a medical identification bracelet that describes the client's visual deficit.
C. Installing a flashing light to indicate when the phone or doorbell is ringing.
D. Installing handrails in hallways, in bathrooms, and on steps.
[单项选择]The nurse is providing postoperative care for a client recovering from abdominal surgery. The client is receiving morphine through a client-controlled analgesia pump. Which finding would indicate that the client is obtaining adequate pain relief ?()
A. Awakening several times during the night to redose.
B. Respiratory rate of 10 breaths/minute.
C. Pain rating of 2 or 3 on a scale of 0 to 10.
D. Complaint of itching as an adverse effect of the analgesia.
[单项选择]The nurse is providing home care instructions to a client who has recently had a skin graft. Which instruction is most important for the client to remember
A. Use cosmetic camouflage techniques.
B. Protect the graft from direct sunlight.
C. Continue physical therapy.
D. Apply lubricating lotion to the graft site.
[单项选择]The nurse is providing care for a postoperative client who has undergone a small bowel resection. The nurse may use an epidural catheter for which of the following ?()
A. Antibiotic therapy.
B. Pain management.
C. Blood transfusion.
D. Anticoagulation.
[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 providing care for a client who underwent mitral valve replacement. The best example of a measurable client outcome goal is to ().
A. change his own dressing.
B. walk in the hallway.
C. walk from his room to the end of the hall and back before discharge.
D. eat a special diet.
[单项选择]The nurse is providing care for an immobilized client. For this client, the most appropriate and most effective nursing intervention would be ().
A. getting the client out of bed and into a chair for 30 minutes, twice daily.
B. avoiding repositioning the client if he's comfortable.
C. repositioning the client on alternate sides at least every 2 hours.
D. positioning the client with the greatest pressure at the bony prominence.
[单项选择]The nurse is providing care to a client with catatonic type of schizophrenia who exhibits extreme negativism. To help the client meet his basic needs, the nurse should ().
A. ask the client which activity he would prefer to do first.
B. negotiate a time when the client will perform activities.
C. tell the client specifically and concisely what needs to be done.
D. prepare the client ahead of time for the activity.
[单项选择]The nurse is providing care for a client with multiple myeloma, a disorder characterized by episodes of remissions and exacerbations. Which of the following resources can best help the client adapt to the disease
[单项选择]The nurse is providing care for a pregnant 16-year-old client. The client says that she's concerned she may gain too much weight and wants to start dieting. The nurse should respond by saying.()
A. "Now isn't a good time to begin dieting because you are eating for two. "
B. "Let's explore your feelings further. "
C. " Nutrition is important because depriving your baby of nutrients can cause developmental and growth problems. "
D. "The prenatal vitamins should ensure the baby gets all the necessary nutrients. "
[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 provides care for a client with chronic obstructive pulmonary disease (COPD). Administering high doses of oxygen may produce what result ?()
A. Increased respiratory drive.
B. Diminished respiratory drive.
C. A mismatch between ventilation and perfusion.
D. A profound decrease in partial pressure of arterial carbon dioxide (PaCO2).
[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 developing a teaching plan for a client diagnosed with osteoarthritis. To minimize injury to the osteoarthritic client, the nurse should instruct the client to ().
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[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.
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D. Blister.
[单项选择]The nurse is planning care for a client after a tracheostomy. One of the client's goals is to overcome verbal communication impairment. Which of the following interventions should the nurse include in the care plan ?()
A. Make an effort to read the client's lips to foster communication.
B. Encourage the client's communication attempts by allowing him time to select or write words.
C. Answer questions for the client to reduce his frustration.
D. Avoid using a tracheostomy plug because it blocks the airway.
[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.

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