更多"Which of the following nursing diag"的相关试题:
[单项选择]Which of the following nursing diagnoses would be most appropriate when teaching the mother of a toddler（ ）
A. Activity intolerance.
B. Risk for injury.
C. Delayed growth and development.
D. Impaired mobility.
[单项选择]Which of the following nursing interventions would be included in the care of a client with anorexia nervosa as therapy progresses（）
A. Let the client eat alone to avoid embarrassment.
B. Weigh the client once a week in the same clothing.
C. Monitor the client for self-destructive tendencies.
D. Praise the client for "looking better" and remind the client that she isn’t "too fat. ”
[单项选择]Which of the following nursing measures would the nurse institute to help reduce eyelid edema in a child with nephrotic syndrome（ ）
A. Instill eye drops every 8 hours.
B. Limit the child’s television watching.
C. Apply cool compresses to the child’s eyes.
D. Elevate the head of the child’s bed.
[单项选择]Which nursing intervention would most likely lead to a hyposmolar state（）
A. Performing nasogastric (NG) tube irrigation with normal saline solution.
B. Weighing the client daily.
C. Administering tap water enema until the return is clear.
D. Encouraging the client with excessive perspiration to drink broth.
[单项选择]Which nursing diagnosis would the nurse anticipate as having the highest priority for the client with gestational diabetes in labor（）
A. Risk for infection related to invasive procedures during labor.
B. Risk for injury to fetus related to the effects of diabetes on uteroplacental functioning.
C. Deficient knowledge related to lack of information about care during labor.
D. Interrupted family processes related to diabetes increasing the client’s risk of complications.
[单项选择]Which nursing diagnosis would be the most appropriate for a client with coronary artery disease (CAD)（）
A. Ineffective thermoregulation.
B. Impaired gas exchange.
C. Risk for injury.
D. Decreased cardiac output.
[单项选择]Which nursing measure would be most effective in helping the client cough and deep breathe after a cholecystectomy
A. Having the client take rapid, shallow breaths to decrease pain.
B. Having the client lay on the left side while coughing and deep breathing.
C. Teaching the client to use a folded blanket or pillow to splint the incision.
D. Withholding pain medication so the client can be alert enough to follow the nurse’s instructions.
[单项选择]Which of the following home care activities would be appropriate for a client with a laryngectomy（）
A. Keep the stoma opening covered at all times.
B. Participate in activities such as walking and golfing.
C. Stay inside in an air-conditioned environment in the summer.
D. Avoid showering; take tub baths instead.
[单项选择]Which of the following nursing actions violates the standards of caring for the body after a patient has been pronounced dead（ ）
A. Keeping the patient in a comfortable sitting position until the family has arrived and said their goodbyes
B. Placing identification tags on both the shroud and the ankle
C. Removing soiled dressings and tubes
D. Preparing to transfer the body to the morgue
[单项选择]Which of the following nursing interventions is most important postoperatively for an infant who has received a ventriculoperitoneal shunt（ ）
A. Monitoring intake and output.
B. Allowing the infant to rest undisturbed.
C. Providing age-appropriate diversionary activities.
D. Initiating oral feedings.
[单项选择]Which one of the following nursing interventions should be included in a plan of care for a client with a T tube（ ）
A. Maintain client in a supine position while T tube is in place.
B. Keep T tube clamped except for during mealtimes.
C. Inspect skin around the T tube daily for irritation.
D. Irrigate the T tube every 4 hours to maintain patency.
[单项选择]Which of the following signs or symptoms would be of least importance when the nurse evaluates the client for postoperative peripheral nerve damage（ ）
A. Pain.
B. Bleeding.
C. Altered sensation.
D. Pulselessness.
[单项选择]Which of the following signs or symptoms would the nurse expect to see in a client with pancreatitis（ ）
A. Bradycardia.
B. Hypertension.
C. Decreased white blood cell count.
D. Left upper quadrant abdominal pain.
[单项选择]Which of the following signs and symptoms would alert the nurse to possible internal bleeding in a client who has undergone pulmonary lobectomy
A. Increased blood pressure and decreased pulse and respiratory rates.
B. Sanguineous drainage from the chest tube at a rate of 50 mL per hour during the past 3 hours.
C. Restlessness and shortness of breath.
D. Urine output of 180 mL during the past 3 hours.
[单项选择]Which of the nursing actions described below would you correct if you saw a nursing assistant doing this（ ）
A. Talking to a comatose patient
B. Sitting on the bed of a dying patient holding her hand and crying
C. Agreeing with the daughter of a dying resident with Alzheimer’s disease that the burdens associated with artificially feeding her father may outweigh the benefits
D. Telling a dying patient to sit back and relax and that she will wash him because it’s easier that way
[单项选择]Which of the following nurse responses would be endorsed by the American Nurses Association（ ）
A. A nurse promises a dying patient that he will do everything possible to keep her comfortable but that he cannot administer an injection or overdose to cause her death.
B. A nurse tells a dying patient who is on a ventilator that under no condition can he be removed from the ventilator because this is active euthanasia and it is expressly forbidden by the Code for Nurses.
C. After exhausting every intervention in her bag of tricks to keep a dying patient comfortable the nurse says, "I think you are now at a point where I’m prepared to do what you’ve been asking me. Let’s talk about when and how you want to die. "
D. In response to a patient who asks for assistance in committing suicide a nurse replies, "I’m personally opposed to assisted suicide but I’ll find you a colleague who can help you. /
