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[简答题]John Black, a new client, who has been a chargeable person for a number of years, has asked you to explain the following, with reference to income tax.(a) The rules applicable in determining the amount of preliminary tax to be paid for the tax year 2008. (3 marks)
[填空题]If you want to live longer and lower the risk of heart disease, a move to the mountains may help. Research by scientists in Greece shows that mountain{{U}} (36) {{/U}}is good for the hem and {{U}} (37) {{/U}}.
People living at higher{{U}} (38) {{/U}}have lower odds of dying from heart disease than those closer to sea level, even if they have factors that could increase their risk.{{U}} (39) {{/U}}" in mountainous areas seems to have a{{U}} (40) {{/U}}effect’ from heart disease," said Dr. Nikos Baibas of the University of Athens. He and his colleagues{{U}} (41) {{/U}}that the increased exercise from walking up mountainous{{U}} (42) {{/U}}gives the heart a good{{U}} (43) {{/U}}. and enables it to cope with lower levels of oxygen. Researchers studied the health records and death rates of 1,150 Greeks who lived in three villages near Athens over 15 years. One village was 1,000 meters above sea level and the other two were in low-lying areas.{{U}} (44) {{/U}}. they ha
[单项选择]A psychiatric client who was voluntarily admitted now wishes to be discharged from the hospital, against medical advice. What’s the most important assessment the nurse should make of the client
A. Ability to care for himself.
B. Degree of danger to self and others.
C. Level of psychosis.
D. Intended compliance with aftercar
[单项选择]A client who recently had a cerebrovascular accident requires a cane to ambulate. When teaching about cane use, the rationale for holding a cane on the uninvolved side is to（）
A. prevent leaning.
B. distribute weight away from the involved side.
C. maintain stride length.
D. prevent edema.
[单项选择]A client is at risk for developing a pressure ulcer. The first warning of an impending pressure ulcer is when pressure applied to skin it turns
A. whitish.
B. yellowish.
C. bluish.
D. reddis
[单项选择]A client who has recently had surgery for prostate cancer expresses to the nurse feelings of anger toward God, his church, and the clergy. Which intervention isn’t appropriate for this client（）
A. Acknowledging the client’s spiritual distress.
B. Inviting the client’s clergyman to visit him.
C. Encouraging the client to discuss religious beliefs and practices.
D. Encouraging the client to discuss concerns with the clergy.
[单项选择]A client who recently developed paralysis of the arms is diagnosed with conversion disorder after tests fail to uncover a physical cause for the paralysis. When preparing the plan of care for the client, which of the following interventions should be included in the plan
A. Teaching the client how to use nonpharmacologic pain-control methods.
B. Exercising the client’s arms regularly.
C. Insisting that the client eat without assistance.
D. Working with the client rather than the family.
[单项选择]Following an earthquake, a client who was rescued from a collapsed building is seen in the emergency department. He has blunt trauma to the thorax and abdomen. Which nursing observation most suggests the client is bleeding
A. Prolonged partial thromboplastin time (PTT).
B. Recent history of warfarin (Coumadin) usage.
C. Diminished breath sounds.
D. Orthostatic hypotension.
[单项选择]The nurse is interviewing a client who is currently under the influence of a controlled substance and shows signs of becoming agitated. Which measure should the nurse take first when caring for this client
A. Be aware of hospital security.
B. Communicate a scolding attitude to intimidate the client.
C. Use confrontation.
D. Express disgust with the client’s behavior.
[单项选择]A client who has stress incontinence has been given a pamphlet that describes Kegel exercises. Which of the following statements indicates that the client has understood the instructions in the pamphlet
A. "It will probably take a year before the exercises are effective. "
B. "I should perform these exercises every evening. "
C. "I can do these exercises sitting up, lying down, or standing. "
D. "I need to tighten my abdominal muscles to do these exercises correctly. "
[单项选择]When helping the client who has had a cerebrovascular accident (CVA) learn self-care skills, the nurse should use which of the following interventions to help him learn to dress himself
A. Encourage the client to wear clothing designed especially for people who have had a CVA.
B. Dress the client, explaining each step of the process as it is completed.
C. Teach the client to put on clothing on the affected side first.
D. Encourage the client to ask his wife for help when dressin
[单项选择]The nurse is teaching a client who receives nitrates for the relief of chest pain. Which of the following instructions should the nurse emphasize
A. Repeat the dose of sublingual nitroglycerin every 15 minutes for three doses.
B. Store the drug in a cool, well-lit place.
C. Lie down or sit in a chair for 5 to 10 minutes after taking the drug.
D. Restrict alcohol intake to two drinks per day.
[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 who has cervical cancer is scheduled to undergo internal radiation. In teaching the client about the procedure, the nurse would be most accurate in telling the client（）
A. she’ll be in a private room with unrestricted activities.
B. a bowel-cleansing procedure will precede radioactive implantation.
C. she’ll be expected to use a bedpan for urination.
D. the preferred positioning in bed will be semi-Fowler’s.
[单项选择]In an industrial accident, a client who weighs 155 lb (70.3 kg) sustained full-thickness burns over 40% of his body. He’s in the burn unit receiving fluid resuscitation. Which observation shows that the fluid resuscitation is benefiting the client（）
A. A urine output consistently above 100 mL/hr.
B. A weight gain of 4 lb (1.8 kg) in 24 hours.
C. Body temperature readings all within normal limits.
D. An electrocardiogram (ECG) showing no arrhythmias.
