更多"A client who recently developed par"的相关试题:
[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 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]The nurse is caring for a client who recently underwent a tracheostomy. The first priority when caring for a client with a tracheostomy is
A. helping him communicate.
B. keeping his airway patent.
C. encouraging him to perform activities of daily living.
D. preventing him from developing an infection.
[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]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]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]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.
[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]A client who survived an airplane crash has a diagnosis of posttraumatic stress disorder (PTSD). He has a history of nightmares, depression, hopelessness, and alcohol abuse. Which option offers the client the most lasting relief for his symptoms
A. The opportunity to verbalize memories of trauma to a sympathetic listener.
B. Family support.
C. Prescribed medications taken as ordered.
D. Alcoholics Anonymous (AA) meetings.
[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]Nursing measures for the client who has had an MI include helping the client to avoid activity that results in Valsalva’s maneuver. Valsalva’s maneuver may cause cardiac dysrhythmias, increased venous pressure, increased intrathoracic pressure, and thrombi dislodgment. Which of the following actions would help prevent Valsalva’s maneuver
A. Have the client drink fluids through a straw.
B. Have the client avoid holding her breath during activity.
C. Have the client assume a side-lying position.
D. Have the client clench her teeth while moving in be
[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 plans to teach a client who is receiving radiation therapy how to care for his skin at home. Which of the following should be included in the nurse’s instructions
A. "Apply a heating pad to the area to relieve pain. "
B. "Keep the area covered when you go outdoors. "
C. "You may use deodorant soap if you wish to cleanse the area. "
D. "Put baby oil on the area after each treatment to keep it from getting dry. "
[单项选择]The nurse is providing care for a client who underwent mitral valve replacement. The best example of a measurable client outcome goal is to
A. change his own dressing.
B. walk in the hallway.
C. walk from his room to the end of the hall and back before discharge.
D. eat a special diet.
