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发布时间:2023-11-05 02:12:57

[单项选择]A client diagnosed with tuberculosis is taking the prescribed chemotherapy of isoniazid, rifampin, and pyrazinamide. The nurse should evaluate the client for signs of which of the following commonly occurring toxicities
A. Ototoxicity.
B. Nephrotoxicity.
C. Optic neuritis.
D. Hepatotoxieity.

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[单项选择]Nursing implications for a client taking central nervous system (CNS) stimulants include monitoring the client for which of the following conditions
A. Hyperpyrexia, slow pulse, and weight gain.
B. Tachycardia, weight loss, and mood swings.
C. Hypotension, weight gain, and listlessness.
D. Increased appetite, slowing of sensorium, and arrhythmias.
[单项选择]A hospitalized client taking 30 mg of tranylcypromine (Parnate) twice per day complains of a stiff neck and headache. Which action would be best for the nurse to take
A. Note the complaints as usual adverse effects.
B. Withhold the next dose of medication.
C. Administer an analgesic, as needed and as prescribed.
D. Help the client relax.
[单项选择]The nurse notices that a depressed client taking amitriptyline (Elavil) for 2 weeks has become very outgoing, cheerful, and talkative. The nurse would suspect which of the following
A. The client is responding to the antipsychotic.
B. The client may be experiencing increased energy and is at an increased risk for suicide.
C. The client is ready to be discharged from treatment.
D. The client is experiencing a split personality.
[单项选择]The client is taking triamcinolone acetonide (Azmacort) inhalant to treat her bronchial asthm
A. a. Which of the following conditions is the client at increased risk for developing while taking this medication Oral candidiasis.B. Hyperglycemia.C. Gastric ulcer.D. Fluid retention.
[单项选择]A client diagnosed with schizoaffective disorder is suffering from schizophrenia with elements of which of the following disorders
A. Thought disorder.
B. Amnestic disorder.
C. Personality disorder.
D. Mood disorder.
[单项选择]The client is taking medication to control his cancer pain. Which of the following statements indicates that the client needs further instruction
A. "I should take my medication around-the-clock to control my pain. "
B. "I should skip doses periodically so I don’t get hooked on my drugs. "
C. "It is okay to take my pain medication even if I am not having any pain. "
D. "I should contact the oncology nurse if my pain is not effectively controlled. "
[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.
[单项选择]A client diagnosed with hyperthyroidism has been started on propylthiouracil (PTU) as drug therapy. The nurse should closely observe the client for which of the following side effects
A. Unusual bleeding or bruising.
B. Hypertension.
C. Hypokalemia.
D. Peripheral edem
[单项选择]When caring for an adolescent client diagnosed with depression, the nurse should remember that depression manifests differently in adolescents and adults. In an adolescent, signs and symptoms of depression are likely to include which of the following
A. Helplessness, hopelessness, hypersomnolence, and anorexia.
B. Truancy, a change of friends, social withdrawal, and oppositional behavior.
C. Curfew breaking, stealing from family members, truancy, and oppositional behavior.
D. Hypersomnolence, obsession with body image, and valuing of peers’ opinions.
[单项选择]The client is taking carbamazepine (Tegretol) to treat his trigeminal neuralgi
A. a. While preparing the client’s teaching plan, which of the following instructions should the nurse include Limit physical activity while taking the drug.B. Eliminate caffeine from the diet while taking drug.C. Arrange to have a CBC drawn weekly.D. Take the drug on an empty stomac
[单项选择]A client is taking chlorpropamide (Diabenese). Which of the following side effects should be nurse expect from the medication
A. Hypoglycemia.
B. Oral candidiasis.
C. Dumping syndrome.
D. Extrapyramidal symptoms.
[单项选择]A pregnant client is taking folic acid. During prenatal teaching, which of the following foods would the nurse recommend as high in folic acid
A. Egg yolks.
B. Fruit.
C. Bread.
D. Milk.
[单项选择]A client is taking spironolactone (Aldactone) to control her hypertension. Her serum potassium level is 6 mEq/L. For this client, the nurse’s priority would be to assess her
A. neuromuscular function.
B. bowel sounds.
C. respiratory rate.
D. electrocardiogram (ECG) results.
[单项选择]A client diagnosed as having panic disorder with agoraphobia is admitted to the inpatient psychiatric unit. Until her admission, she had been a virtual prisoner in her home for 5 weeks, afraid to go outside even to buy food. Which of the following should be the nurse’s overall goal of care
A. To help the client perform self-care activities.
B. To help the client function effectively in her environment.
C. To help control the client’s symptoms.
D. To help the client participate in group therapy.
[单项选择]A client diagnosed with a peptic ulcer undergoes an upper gastrointestinal endoscopy to help the physician visualize the ulcer’s location and severity. Immediately after the endoscopy, what would be a priority for the nurse to assess
A. Return of the gag reflex.
B. Bowel sounds.
C. Peripheral pulses.
D. Intake and output.
[单项选择]The nurse is assessing a client diagnosed with appendicitis. Which of the following signs or symptoms should the nurse expect to find
A. Rigid abdomen, Levine’s sign, pain relief leaning forward.
B. Rebound tenderness, McBurney’s sign, low-grade fever.
C. Right lower quadrant pain, Chvostek’s sign, muscle guarding.
D. Periumbilical pain, Trousseau’s sign, pain relief with pressur
[单项选择]The client is taking lithium (Lithobid). Which instruct should the nurse give to the client
A. Drink at least six to eight glasses of water per day and to avoid caffeine.
B. Limit the use of salt in his diet.
C. Discontinue medicine when feeling better.
D. Increase the amount of sodium in his diet.
[单项选择]A client is diagnosed with hyperthyroidism. The nurse should expect clinical manifestations similar to()
A. hypovolemic shock.
B. adrenergic stimulation.
C. benzodiazepine overdose.
D. Addison’s disease.
[单项选择]A client is diagnosed with hyperthyroidism. The clinical manifestations of hyperthyroidism are similar to which of the following
A. Hypovolemic shock.
B. Adrenergic stimulation.
C. Benzodiazepine overdose.
D. Addison’s diseas

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