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发布时间:2023-11-19 19:00:27

[单项选择]The nurse instructs the client with diabetes mellitus that it is vital to recognize and treat hypoglycemia promptly based on which of the following knowledge()
A. Hypoglycemia can cause brain damage.
B. Hypoglycemia necessitates increased insulin dosage.
C. The client may become dehydrated quickly.
D. The client may become confused, increasing the risk of injury.

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[单项选择]The nurse instructs the client with hemorrhoids about how to decrease the discomfort. Which of the following interventions would be most likely recommended by the nurse()
A. Decrease fiber in the diet.
B. Decrease physical activity.
C. Take laxatives to promote bowel movements.
D. Use warm sitz baths.
[单项选择]The nurse instructs the female client concerning hormone replacement therapy for menopausal symptoms. Which of the following points should the nurse include in the client’s teaching plan( )
A. Estrogen therapy eliminates the need for supplemental calcium intake.
B. Estrogen therapy can reduce the risk of menopausal bone loss.
C. The risk of uterine cancer is decreased after menopause.
D. Smoking is associated with a later onset of menopause.
[单项选择]A client with diabetes is explaining to the nurse how he cares for his feet at home. The nurse could judge from which of the following statements that the client needs further instruction on how to care for his feet properly( )
A. "I inspect my feet once a week for cuts and redness. "
B. "I am not allowed to use a heating pad on my feet. "
C. "It is important to dry my feet carefully after my bath. "
D. "I should not go barefoot, even in my home. /
[单项选择]The nurse is caring for a client with diabetes mellitus. When teaching the client about foot care, which instruction should the nurse provide()
A. Examine feet once per week for redness, blisters, and abrasions.
B. Apply lotion to dry feet, especially between the toes.
C. Avoid hot-water bottles and heating pads.
D. Dry feet vigorously after each bath.
[单项选择]A 9-year-old child is in diabetes. The nurse offers to meet with the mother and the child’s teacher before school to discuss the teacher’s responsibilities in relation to the child’s diabetes. Which of the following would the nurse expect to discuss in this meeting()
A. How to perform a glucometer test.
B. How to give an insulin injection.
C. Signs and symptoms of hypoglycemia.
D. The American Diabetic Association (ADA) diet.
[单项选择]A nurse instructs a prenatal class about the importance of doing Kegel exercises frequently. Kegel exercises help to()
A. promote better breathing by strengthening the diaphragm muscle.
B. maintain good perineal muscle tone by tightening the pubococcygeus muscle.
C. minimize leg cramps by strengthening the calf muscles.
D. prepare the mother for pushing by strengthening the abdominal muscles.
[单项选择]A client asks the nurse what PSA is. The nurse should reply that it stands for()
A. prostate-specific antigen, used to screen for prostate cancer.
B. protein serum antigen, used to determine protein levels.
C. pneumococcal strep antigen, a bacteria that causes pneumonia.
D. papanicolaou-specific antigen, used to screen for cervical cancer.
[单项选择]The overweight adolescent client tells the nurse that he would like to lose weight and asks the nurse’s opinion on how to accomplish his goal. Which of the following suggestions would be most appropriate()
A. Exercising more often.
B. Severely limiting calorie intake.
C. Participating in an adolescent weight-reduction program.
D. Cutting clown on sweets and other snacks.
[单项选择]A client tells the nurse that she has been working hard for the last 3 months to control her type 2 (non-insulin-dependent) diabetes mellitus with diet and exercise. To determine the effectiveness of the client’s efforts, the nurse should check()
A. urine glucose level.
B. fasting blood glucose level.
C. serum fructosamine level.
D. glycosylated hemoglobin (Hb) level.
[单项选择]During a conversation with the client, the nurse observes the client shaking his leg and tapping his fingers on the table next to him. The nurse’s best statement is.( )
A. "I’ll get you something to help you feel less anxious. "
B. "I know that you feel anxious. Let’s discuss something more pleasant. "
C. "I see that you’re anxious. I’ll be back later when you’re calmer. "
D. "I noticed that your leg is shaking and you’re tapping your fingers on the table. How are you feeling now/
[单项选择]One morning a client tells the nurse, "my legs are turning to rubber because I have an incurable disease called schizophrenia. " The nurse recognizes that this is an example of( )
A. A hallucination
B. Paranoid thinking
C. Depersonalization
D. Autistic verbalization
[单项选择]A client has approached the nurse asking for advice on how to deal with his alcohol addiction. The nurse should tell the client that the only effective treatment for alcoholism is()
A. psychotherapy.
B. total abstinence.
C. Alcoholics Anonymous (AA).
D. aversion therapy.
[单项选择]A 69-year-old client asks the nurse what the difference is between osteoarthritis (OA) and rheumatoid arthritis (RA). Which response is correct
A. OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen joints.
B. OA and RA are very similar. OA affects the smaller joints, and RA affects the larger, weight-bearing joints.
C. OA affects joints on both sides of the body. RA is usually unilateral.
D. OA is more common in women. RA is more common in men.
[单项选择]A 19-year-old pregnant client tells the nurse she’s concerned that she may not be able to take care of herself during her pregnancy. She states that prenatal care is expensive and her job doesn’t provide insurance. The nurse should recognize which of the following()
A. The client may not take care of herself.
B. The client may not be fit to take care of a child.
C. The client needs to take up a second job.
D. The client should be referred to community resources available for pregnant women.
[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]While admitting a client with pneumonia, the nurse notes multiple bruises in various stages of healing. The client has Alzheimer’s disease and a history of multiple fractures. Legally, the most important action for the nurse to take is to()
A. document findings thoroughly.
B. question the client about the bruising.
C. inform appropriate local authorities.
D. tell the client’s physician.
[单项选择]A psychotic client reports to the evening nurse that the day nurse put something suspicious in his water with his medication. The nurse replies, "You’re worried about your medication" The nurse’s communication is()
A. an example of presenting reality.
B. reinforcing the client’s delusions.
C. focusing on emotional content.
D. a nontherapeutic technique called mind reading.
[单项选择]During a panic attack, a client runs to the nurse and reports breathing difficulty, chest pains, and palpitations. The client also is pale and has a wide open mouth and raised eyebrows. What should the nurse do first
A. Assist with deep breathing into a paper bag.
B. Orient the client to person, place, and time.
C. Set limits for acting out delusional behaviors.
D. Administer an anxiolytic agent IM.

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