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发布时间:2024-01-05 20:33:34

[单项选择]A client diagnosed with gestational diabetes has been admitted for induction of labor at 38 weeks. The client asks the nurse, "My previous labors started on their own. How will this induction of labor be different from my last labor" Upon which theory would the nurse base her response
A. An induction causes the contractions to be more intense during the first stage of labor.
B. The risk of uterine rupture is less because the oxytocin (Pitocin) is controlled with an infusion pump.
C. The goal of induction is to produce a contractile pattern similar to that observed in spontaneous labor.
D. During an induction, fetal monitoring begins as soon as oxytocin is started, whereas in a spontaneous labor, monitoring begins when signs of distress occur.

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[单项选择]A client has severe pruritus from hepatitis B. Which of the following nursing measures would best enhance the client’s comfort
A. Use hot water to increase vasodilation.
B. Use cold water to decrease itching sensation.
C. Give tepid water baths.
D. Avoid lotions and creams.
[单项选择]A client has a diagnosis of borderline personality disorder. She has attached herself to one nurse and refuses to speak with other staff members. She tells the nurse that the other nurses are mean, withhold her medication, and mistreat her. The staff is discussing this problem at their weekly conference. Which intervention would be most appropriate for the nursing staff to implement
A. Provide an unstructured environment for the client.
B. Rotate the nurses who are assigned to the client.
C. Ignore the client’s behaviors.
D. Bend unit rules to meet the client’s needs.
[单项选择]The client has a newly positive Mantoux skin test although she does not have active tuberculosis. Which medical therapy would be appropriate for her
A. Reevaluating the client’s condition every 6 months.
B. Performing a repeat skin test every 6 months.
C. Administering isoniazid for about 9 months.
D. Administering isoniazid until the skin test reverts to negativ
[单项选择]The nurse observes that a depressed client has bathed, is wearing a clean blouse and slacks, and has combed her hair. Which statement by the nurse would be most helpful for the client
A. "I like your blouse and slacks. "
B. "You look good today. "
C. "I’m glad you’re feeling better today. "
D. "I’m glad you combed your hair today. "
[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.
[单项选择]Which client has the highest risk of ovarian cancer
A. 30-year-old woman taking oral contraceptive pills.
B. 45-year-old woman who has never been pregnant.
C. 40-year-old woman with three children.
D. 36-year-old woman who had her first child at age 22.
[单项选择]A client has been prescribed 75 mg of amitriptyline (Elavil) at bedtime and 15 mg of phenelzine (Nardil) three times per day. Which nursing action takes priority
A. Teaching the client about the adverse effects.
B. Calling the physician and questioning the order.
C. Instituting dietary restrictions.
D. Taking baseline vital signs.
[单项选择]A client has just finished his glucose tolerance test. How many hours should it take for his blood glucose level to return to normal
A. 2 hours.
B. 3 hours.
C. 5 hours.
D. 6 hours.
[单项选择]A client has a total serum cholesterol level of 326 mg/dL. The nurse explains to the client that this level
A. is normal and requires no further treatment.
B. is high and will require dietary modification.
C. is low and requires no further treatment.
D. is borderline normal and may require dietary modification.
[单项选择]A client has a nasogastric tube inserted at the time of abdominal perineal resection with permanent colostomy. This tube will most likely be removed when the client demonstrates which of the following
A. Absence of nausea and vomiting.
B. Absence of stomach drainage for 24 hours.
C. Passage of mucus from the rectum.
D. Passage of flatus and feces from the colostomy.
[单项选择]A client has a perforated nasal septum. The nurse correctly judges the client to be a user of which of the following substances
A. Heroin.
B. Cocaine.
C. LS
D. D. Marijuan
[单项选择]A client has just expelled a hydatidiform mole. She’s visibly upset over the loss and wants to know when she can try to become pregnant again. Which of the following would be the nurse’s best response
A. "I can see you’re upset. Why don’t we discuss this with you at a later time when you’re feeling better. "
B. "I can see that you’re upset; however, you must wait at least 1 year before becoming pregnant again. "
C. "Let me check with your physician and get you something that will help you relax. "
D. "Pregnancy should be avoided until all of your testing is normal. "
[单项选择]A client has been placed on levodopa to treat his Parkinson’s disease. Which of the following is a common side effect of levodopa that the nurse should include in the client’s teaching plan
A. Pancytopenia.
B. Peptic ulcer.
C. Orthostatic hypotension.
D. Weight loss.
[简答题]Question 3
· A long-time client has written to complain about an under。shipment in their Christmas order.You have been asked to write a letter to apologise and offer solutions.
· Write the letter:
——apologising for the mistake on your side,
——Offening solutions to the problem,
——showing your appreciation of their business,
——promising that such problems will not happen again.


[单项选择]A client has been told to take ibuprofen (Motrin, Advil) to relieve the pain of her rheumatoid arthritis. Which of the following statements indicates the client understands how to take this drug safely and effectively
A. "I should not take aspirin with this drug unless my physician says to. "
B. "I should not take this drug with antacids or food products. "
C. "I do not need to worry about this medicine irritating my stomach. "
D. "I should notice the effects of this medicine within the first few days. "
[单项选择]A client has had a cerebrovascular accident (CVA). Because the CVA affected the left side of the client’s brain, the nurse should anticipate that the client would most likely experience
A. dyslexia.
B. apraxia.
C. agnosia.
D. expressive aphasi
[单项选择]A client has a boggy uterus during stage IV of her delivery. Four hours postpartum, the nurse is preparing to administer methylergonovine maleate (Methergine) 0.2mg PO as prescribed every 6 hours. The client’s vital signs are; temperature, 100.4°F (38℃); pulse, 60 beats/minute; respirations, 14 breaths/minute; blood pressure, 140/90mmHg. Which is the most appropriate intervention
A. Immediately administer the drug.
B. Administer the drug and call the physician.
C. Administer the drug and recheek vital signs.
D. Don’t administer the dru
[单项选择]A 23-year-old primigravida client has a normal vaginal delivery. The next day, the nurse assesses the client’s lochia for color, amount, and the presence of clots. Which of the following best describes lochia on the first postpartum day
A. Dark red (loehia rubra), large amount, with many clots.
B. Pink (lochia serosa), moderate amount, no clots.
C. White (lochia alba), scant amount, no clots.
D. Dark red (lochia rubra), moderate amount, with a few small clots.

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