更多"A client is brought to the hospital"的相关试题:
[单项选择]Nursing care for a client after electroeonvulsive therapy (ECT) should include which of the following
A. Nothing by mouth for 24 hours after the treatment because of the anesthetic agent.
B. Bed rest for the first 8 hours after a treatment.
C. Assessment of short-term memory loss.
D. No special car
[单项选择]The nursing care plan for a client after gynecologic surgery includes nursing orders intended to help reduce the risk of thrombophlebitis. Which is not appropriate among the following nursing interventions
A. Ambulate the client.
B. Massage the client’s legs.
C. Have the client wear elasticized stockings.
D. Have the client perform range-of-motion exercises in be
[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 is caring for a client after a closed renal biopsy. Which of the following nursing measures should be included in the plan of care
A. Maintaining the client on strict bed rest in a supine position for 6 hours.
B. Administering intravenous narcotic medications to promote comfort.
C. Inserting an indwelling catheter to monitor urine output.
D. Applying a sandbag to the biopsy site to prevent bleedin
[单项选择]A female client is discharged from the hospital after having an episode of heart failure. She’s prescribed daily oral doses of digoxin (Lanoxin) and furosemide (Lasix). Two days later, she tells her community health nurse that she feels weak and frequently feels her heart "flutter. " What action should the nurse take
A. Tell the client to rest more often.
B. Tell the client to stop taking the digoxin, and call the physiciarn.
C. Call the physician, report the symptoms, and request to draw a blood sample to determine the client’s potassium level.
D. Tell the client to avoid foods that contain caffein
[单项选择]A client is admitted to the hospital with a productive cough, night sweats, and a fever. Which action is most important in the initial plan of care（）
A. Assessing the client’s temperature every 8 hours.
B. Placing the client in respiratory isolation.
C. Monitoring the client’s fluid intake and output.
D. Wearing gloves during all client contact.
[单项选择]A client is admitted to the hospital with an exacerbation of her chronic systemic lupus erythematosus (SLE). She gets angry when her call bell isn’t answered immediately. The most appropriate response to her would be（）
A. "You seem angry. Would you like to talk about it"
B. "Calm down. You know that stress will make your symptoms worse. "
C. "Would you like to talk about the problem with the nursing supervisor"
D. "I can see you’re angry. I’ll come back when you’ve calmed down. "
[单项选择]A pregnant client is admitted to the hospital at 34 weeks gestation and is receiving intravenous tocolytic therapy for preterm labor. The physician orders betamethasone (Celestone) intramuscularly for her. After administering the drug, the nurse would assess the client for which of the following as a possible side effect
A. Decreased skin turgor.
B. Infection.
C. Urinary frequency.
D. Hypoglycemi
[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]After abdominal surgery, a client is reluctant to turn in bed. Which of the following interventions would be most appropriate
A. Remind her that she must follow her doctor’s orders.
B. Tell her family to encourage her to turn.
C. Allow the client to turn when she wants.
D. Explain the importance of turning to the client.
[单项选择]During the first 24 hours after a client is diagnosed with addisonian crisis, which of the following should the nurse perform frequently
A. Weigh the client.
B. Test urine for ketones.
C. Assess vital signs.
D. Administer oral hydrocortison
[单项选择]After determining that a pregnant client is Rh-negative, the physician orders an indirect Coombs’test. What’s the purpose of performing this test on a pregnant client
A. To determine the fetal blood Rh factor.
B. To determine the maternal blood Rh factor.
C. To detect maternal antibodies against fetal Rh-positive factor.
D. To detect maternal antibodies against fetal Rh-negative factor.
[单项选择]After a gastrectomy, the client will have a nasogastric tube in place for several days postoperatively. The nurse explains to the client that the nasogastric tube is for which of the following reasons
A. Prevent excessive pressure on suture lines.
B. Prevent the development of ascites.
C. Provide enteral feedings in the immediate postoperative period.
D. Enable administration of antacids to promote healing of the anastomosis.
[单项选择]After 5 days of hospitalization, the client who is receiving morphine sulfate for pain control asks for more pain medication with increasing frequency and exhibits increased anxiety and restlessness. His physical condition is stable. What is the probable cause of his behavior
A. His morphine dosage is too high.
B. His coping mechanisms are exhausted.
C. He is becoming addicted to the narcotic.
D. He has developed tolerance to his narcotic dosag
[单项选择]A client is in the first postoperative day after a total laryngectomy and radical neck dissection. Which of the following is a priority goal
A. Communicate by use of esophageal speech.
B. Improve body image and self-esteem.
C. Attain optimal levels of nutrition.
D. Maintain a patent airway.
[单项选择]A 2-year-old client returns from surgery after a bowel resection as a result of Hirschsprung’s disease. A temporary colostomy is in place. Which immediate postoperative nursing intervention takes priority
A. Changing the surgical dressing.
B. Suctioning the nasopharynx frequently to remove secretions.
C. Irrigating the colostomy with 100 ml of normal saline solution.
D. Auscultating lung sounds.
[单项选择]A client calls the physician’s office 2 days after a herniorrhaphy to report that his scrotum is swollen and painful. Which of the following instruction by the nurse could promote comfort for the client
A. Apply a snug binder on his abdomen.
B. Have him wear a truss to support the scrotum.
C. Have him lie on his side and place a pillow between his legs.
D. Elevate the scrotum and place ice bags on the area intermittently.
[单项选择]Immediately after a 1-year-old client returns from a cardiac catheterization, the nurse notes that the pulse distal to the catheter insertion site is weak. The nurse should take which of the following actions
A. Remove the pressure bandage from the insertion site.
B. Perform passive exercises on the affected extremity.
C. Notify the physician of the assessment.
D. Record the data on the nursing notes and continue to evaluat
