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发布时间:2024-02-01 20:55:33

[单项选择]The nurse is caring for a client admitted to the hospital with a bowel obstruction. The nurse should wear sterile gloves when
A. inserting an indwelling urinary catheter.
B. giving a back rub on intact skin.
C. changing an oxygen system.
D. inserting an IV catheter.

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[单项选择]The nurse is caring for a client admitted to the emergency department after a motor vehicle accident. Under the law, the nurse must obtain informed consent before treatment unless
A. the client is mentally ill.
B. the client refuses to give informed consent.
C. the client is in an emergency situation.
D. the client asks the nurse to give substituted consent.
[单项选择]At an outpatient clinic, a client asks the nurse how she can prepare for pregnancy. Which of the following responses by the nurse would be best
A. "Begin an iron supplement of 100 mg daily. "
B. "Supplement your diet with 400 meg of folio acid. "
C. "Avoid raw eggs and cats until conception. "
D. "Receive immunization against toxoplasmosis. "
[单项选择]The nurse is caring a client in an acute care mental health program. The client refuses his morning dose of an oral antipsychotic medication and believes he’s being poisoned. What should the nurse do
A. Crushing the medication and putting it in his food.
B. Consulting with the physician about a plan of care.
C. Administering the medication by injection.
D. Omitting the dose and trying again the next day.
[单项选择]The nurse is caring for a client with cholelithiasis. Which sign indicates obstructive jaundice
A. Straw-colored urine.
B. Reduced hematocrit.
C. Clay-colored stools.
D. Elevated urobilinogen in the urin
[单项选择]The nurse is caring for a client with otosclerosis scheduled to undergo a stapedectomy. The client asks the nurse when her hearing will improve. Which response by the nurse is most appropriate
A. Your hearing may not improve but you’ll no longer be bothered by tinnitus.
B. Your hearing may be dramatically improved right after surgery.
C. You may notice improved hearing within 1 to 2 weeks.
D. Your hearing may improve 3 to 6 weeks after surgery.
[单项选择]The nurse is caring for a client with an exacerbation of ulcerative colitis. Which of the following nursing measures should be included in the plan of care
A. Encourage regular use of antidiarrheal medications.
B. Incorporate frequent rest periods into the client’s schedule.
C. Have the client maintain a high-fiber diet.
D. Wear a gown when providing direct client car
[单项选择]The nurse is caring for a client with mild active bleeding from placenta previ
A. a. Which of the following observations indicates that an emergency cesarean section may be necessary Increased maternal blood pressure of 150/90 mmHg.B. Decreased amount of vaginal bleeding.C. Fetal heart rate of 80 beats per minute.D. Maternal heart rate of 65 beats per minut
[单项选择]The nurse is caring for a client with acute pulmonary edem
A. a. To immediately promote oxygenation and relieve dyspnea, which of the following interventions is appropriate Administer oxygen.B. Have the client take deep breaths and cough.C. Place the client in high Fowler’s position.D. Perform chest physiotherapy.
[单项选择]The nurse is caring for a client who complains of chronic pain. Given this complaint, why would the nurse simultaneously evaluate both general physical and psychosocial problems
A. Depression is commonly characterized by pain disorders and somatic complaints.
B. Combining evaluations will save time and allow for quicker delivery of health care.
C. Most insurance plans won’t cover evaluation of both as separate entities.
D. The physician doesn’t have the training to evaluate for psychosocial considerations.
[单项选择]The nurse is caring for a client during the fourth stage of labor. Which of the following nursing interventions would be LEAST appropriate
A. Catheterization to protect the bladder from trauma.
B. Perineal assessments for swelling and bleeding.
C. Vital signs and fundal checks every 15 minutes.
D. Time with the neonate to initiate breast-feedin
[单项选择]The nurse is caring for a client with bipolar disorder in a manic state. Which of the following nursing interventions should be included in the plan of care
A. Allowing the client to exhibit hyperactive, demanding, manipulative behavior without setting limits.
B. Listening attentively with a neutral attitude and avoiding power struggles.
C. Offering high-calorie meals and strongly encouraging the client to finish all food.
D. Insisting that the client remain active through the day so that he’ll sleep at night.
[单项选择]The nurse is caring for a client with acute osteomyelitis in the right tibi
A. a. Which of the following measures is most appropriate when repositioning the client’s leg Hold the leg by the ankle when repositioning to avoid touching the tibia.B. Support the leg above and below the affected area when positioning.C. Have the client move the leg by himself to decrease pain.D. Apply warm moist compresses to the leg before repositionin
[单项选择]The nurse is caring for a client hospitalized on numerous occasions for complaints of chest pain and fainting spells, which she attributes to her deteriorating heart condition. No relatives or friends report ever actually seeing a fainting spell. After undergoing an extensive cardiac, pulmonary, GI, and neurologic workup, she’s told that all test results are completely negative. The client remains persistent in her belief that she has a serious illness. What diagnosis is appropriate for this client
A. Exhibitionism.
B. Somatoform disorder.
C. Degenerative dementia.
D. Echolali
[单项选择]The nurse is caring for a client who exhibits magical thinking. Which of the following best describes magical thinking
A. Strong positive and negative feelings that cause conflict.
B. Returning to an earlier developmental stage.
C. Meaningless repetition of words.
D. The belief that thoughts or wishes can control other people or events.
[单项选择]The nurse is caring for a client who exhibits signs of somatization. Which of the following statements is most relevant
A. Clients with somatization are cognitively impaired.
B. Anxiety rarely coexists with somatization.
C. Somatization exists when medical evidence supports the symptoms.
D. Clients with somatization often have lengthy medical records.
[单项选择]The nurse is caring for a client who has generalized anxiety disorder. Which statement is true about this client
A. The client has regular obsessions.
B. Relaxation techniques and psychotherapy are necessary for cure.
C. Nightmares and flashbacks are common in individuals who suffer from generalized anxiety disorder.
D. Generalized anxiety disorder is characterized by anxiety that lasts longer than 6 months.
[单项选择]The nurse is caring for a client who is experiencing sinus bradycardia with a pulse rate of 40 beats/minute. His blood pressure is 80/50 mmHg and he complains of dizziness. Which medication would be used to treat his bradycardia
A. Atropine.
B. Dobutamine (Dobutrex).
C. Bretylium (Bretylol).
D. Lidocaine (Xylocaine).
[单项选择]The nurse is caring for a client with a fractured left femur. What signs indicate potential fat emboli
A. Increased partial pressure of arterial oxygen (PaO2), reduced sensation in left leg or foot.
B. Left leg pain, dyspnea.
C. Bradycardia, skin bruises.
D. Cyanosis, decreased PaO2.

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