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发布时间:2023-10-22 14:47:25

[填空题]client

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[单项选择]A client is having autonomic dysreflexi
A. a. What should the nurse do first Place the client in Fowler’s position.B. Send a urine sample for culture.C. Administer nitroprusside sodium (Nipride) intravenously.D. Call the physician.
[单项选择]A primigravida client with acquired immunodeficiency syndrome (AIDS) is in labor at term. In preparing her nursing care plan, the nurse should include which of the following nursing diagnoses
A. Risk for fetal or maternal injury related to the crisis of childbearing.
B. Risk for infection related to suppressed immune status.
C. Risk for deficient fluid volume related to dehydration.
D. Risk for fetal injury related to uteroplacental insufficiency.
[单项选择]A client with pneumonia is receiving supplemental oxygen, 2 L/minute via nasal cannuta. The client’s history includes chronic obstructive pulmonary disease (COPD) and coronary artery disease. Because of these findings, the nurse closely monitors the oxygen flow and the client’s respiratory status. Which complication may arise if the client receives a high oxygen concentration
A. Apnea.
B. Anginal pain.
C. Respiratory alkalosis.
D. Metabolic acidosis.
[单项选择]A client with myocardial infarction and cardiogenic shock is placed in an intra-aortic balloon pump (IABP). If the device is functioning properly, the balloon inflates when the()
A. triseupid valve is closed.
B. pulmonic valve is open.
C. aortic valve is closed.
D. mitral valve is closed.
[单项选择]A client with chronic obstructive pulmonary disease (COPD) and cor pulmonale is being prepared for discharge. The nurse should provide which instructions()
A. "Weigh yourself daily and report a loss of 1 lb in 1 day. "
B. "Eat a high-sodium diet. "
C. "Weigh yourself daily and report a gain of 2 lb in 1 day. "
D. "Maintain bedrest. "
[单项选择]Before a transesophageal echocardiogram, a client is given an oral topical anesthetic spray. Upon return from the procedure, the nurse observes that the client has no active gag reflex. In response, the nurse should()
A. insert an oral airway.
B. withhold food and fluids.
C. position the client on his side.
D. introduce a nasogastric (NG) tube.
[单项选择]For a client with suspected increased intracranial pressure (ICP), a most appropriate respiratory goal is to
A. prevent respiratory alkalosis.
B. lower arterial pH.
C. promote carbon dioxide elimination.
D. maintain partial pressure of arterial oxygen (PaO2) above 80 mmH
[单项选择]A client undergoes extracorporeal shock wave lithotripsy (ESWL) to break up and remove renal calculi. Which of the following nursing measures is appropriate for the postoperative care of this client
A. Maintain client on strict bed rest for 48 hours after the procedure.
B. Instruct client to anticipate a decrease in urinary output.
C. Instruct client to anticipate hematuria for about 24 hours after the procedure.
D. Limit fluid intake to 1000 mL/day until all stone fragments have been passe
[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 client complains a continuous bladder irrigation after a transurethral resection. Which of the following is the major goal of nursing interventions related to the irrigation
A. Recognize signs of prostate cancer.
B. Perform activities of daily living.
C. Maintain catheter patency.
D. Reduce incisional bleedin
[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]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 with antisocial personality disorder refuses to take a shower for 3 days. Which response by the nurse is best
A. "It’s policy here for all clients to bathe daily. "
B. "It’s time for your shower. I’ll help you with it. "
C. "Don’t worry about your shower until tomorrow. "
D. "Do you want people to make fun of you"
[单项选择]A client with cholecystitis is receiving propantheline bromide. The client is given this medication because it
A. reduces gastric solution production and hypermobility.
B. slows emptying of the stomach and reduces chyme in the duodenum.
C. inhibits contraction of the bile duct and gallbladder.
D. decreases bile secretions.
[单项选择]A client with paranoid type schizophrenia becomes angry and tells the nurse to leave him alone. The nurse should
A. tell him that she’ll leave for now but will return soon.
B. ask him if it’s okay if she sits quietly with him.
C. ask him why he wants to be left alone.
D. tell him that she won’t let anything happen to him.
[单项选择]The nurse provides fluid replacement for a client with burns on 35% of his body. It has been 12 hours since the burns occurred. His blood pressure is 85/60 mmHg. His pulse is 124 beats/minute. Urine output was 25 mL during the past hour. What orders should the nurse expect to receive from the physician()
A. Maintain IV fluids at the present rate, and continue to reassess vital signs and urine output hourly.
B. Increase the IV rate, and continue to reassess vital signs and urine output hourly.
C. Decrease the IV rate, and continue to reassess vital signs and urine output hourly.
D. Administer a vasoconstrictor, and reassess vital signs and urine output hourly.

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