更多"The nurse is caring for a client wh"的相关试题:
[单项选择]The nurse is caring for a client who underwent a subtotal gastrectomy 24 hours earlier. The client has a nasogastric (NG) tube. The nurse （）
A. apply suction to the NG tube every hour.
B. clamp the NG tube if the client complains of nausea.
C. irrigate the NG tube gently with normal saline solution.
D. reposition the NG tube if pulled out.
[单项选择]The nurse is caring for a client who underwent a total hip replacement. What should the nurse and other caregivers do to prevent dislocation of the new prosthesis（）
A. Keep the affected leg in a position of adduction.
B. Use measures other than turning to prevent pressure ulcers.
C. Prevent internal rotation of the affected leg.
D. Keep the hip flexed by placing pillows under the client’s knee.
[单项选择]The nurse is caring for a client who underwent a lumbar laminectomy 2 days ago. Which of the following findings should the nurse consider abnormal（）
A. More back pain than the first postoperative day.
B. Paresthesia in the dermatomes near the wounds.
C. Urinary retention or incontinence.
D. Temperature of 99.2°F(37.3℃).
[单项选择]The nurse is evaluating a client who is complaining of shortness of breath. The client’s respiratory rate is 26 breaths per minute so the nurse documents that he is tachypneic. The nurse understands that tachypnea means（）
A. frequent bowel sounds.
B. heart rate greater than 100 beats/minute
C. hyperventilation.
D. respiratory rate greater than 20 breaths/minute
[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]The nurse is assessing a client who gave birth yesterday. Where should the nurse expect to find the top of the client’s fundus（）
A. One fingerbreadth above the umbilicus.
B. One fingerbreadth below the umbilicus.
C. At the level of the umbilicus.
D. Below the symphysis pubis.
[单项选择]The nurse is teaching a client who has been prescribed allopurinol for the treatment of gout. Which instruction would the nurse give to the client（）
A. Increase alcohol intake while taking the drug.
B. Avoid foods that are rich in purine.
C. Take aspirin for pain.
D. Take the drug between meals to promote absorption.
[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 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]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 has hemoconcentration after fluid loss. Which IV fluids would be the most appropriate fluid replacement therapy for this client（）
A. Distilled water.
B. Dextrose 5% in water (D5W) only.
C. DSW with 40 mEq of potassium chloride.
D. Dextrose 10% in saline.
[单项选择]The nurse is caring for a client who required chest tube insertion for a pneumothorax. To assess a client for pneumothorax resolution, the nurse can anticipate that he’ll require（）
A. monitoring of arterial oxygen saturation (SaO2).
B. arterial blood gas (ABG) studies.
C. chest auscultation.
D. a chest X-ray.
[单项选择]The nurse is caring for a client who is experiencing auditory hallucinations. What would be most critical for the nurse to assess（）
A. Possible hearing impairment.
B. Family history of psychosis.
C. Content of the hallucinations.
D. Possible sella turcica tumors.
[单项选择]The nurse is caring for a client who complains of lower back pain. Which instructions should the nurse give to this client to prevent back injury（）
A. Bend over the object you’re lifting.
B. Narrow the stance when lifting.
C. Push or puI1 an object using your arms.
D. Stand close to the object you’re lifting.
