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发布时间:2024-02-29 01:09:57

[单项选择]A client is prescribed Gentamycin (Garamycin) IV to treat infection. It is important to monitor the client for the development of which of the following side effects from the medication()
A. Ascites.
B. Confusion.
C. Ototoxicity.
D. Cardiac dysrhythmias.

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[单项选择]The nurse is caring for a client undergoing IV antibiotic therapy with gentamicin sulfate. Which of the following interventions is most important()
A. Infuse the medication quickly to minimize its irritating effect on the walls of blood vessels.
B. Obtain renal function tests, such as blood urea nitrogen (BUN) and creatinine levels, throughout the course of therapy.
C. Assess for pulmonary and peripheral edema.
D. Obtain an order for an antiemetic to counteract the common adverse effect of nausea.
[单项选择]The nurse is planning care for a client admitted to the psychiatric unit with a diagnosis of paranoid schizophrenia. Which nursing diagnosis should receive the highest priority()
A. Risk for self- or other-directed violence.
B. Imbalanced nutrition.
C. Ineffective coping.
D. Impaired verbal communication.
[单项选择]During the admission interview, a client reports that she frequently has nightmares and memories of a rape that occurred 3 years ago. She feels depressed and asks the nurse, "Do you think I will ever get better I don’t know what is wrong with me. " The nurse’s most supportive response would be()
A. "It sounds like you have some unresolved pain about the trauma. Take time here to talk and allow yourself to heal. "
B. "I’m not sure what is wrong, but the medication will help you soon enough. "
C. "It’s important to talk to your physician about an issue such as this. "
D. "Don’t feel bad; the treatment will help you. "
[单项选择]The client is to receive an IV infusion of 3000 mL of dextrose and normal saline solution over 24 hours. The nurse observes that the rate is 150mL/hour. If the solution runs continuously at this rate, the infusion will be completed in()
A. 12 hours.
B. 20 hours.
C. 24 hours.
D. 50 hours.
[单项选择]A client is receiving an IV infusion of dextrose 5% in water and lactated Ringer’s solution at 125 mL/hr to treat a fluid volume deficit. Which of these signs indicates a need for additional IV fluids()
A. Serum sodium level of 125 mEq/L.
B. Temperature of 99.6 °F(37.6℃).
C. Neck vein distention.
D. Dark amber urine.
[单项选择]A client has a boggy uterus during stage IV of her delivery. Four hours postpartum, the nurse is preparing to administer methylergonovine maleate (Methergine) 0.2mg PO as prescribed every 6 hours. The client’s vital signs are; temperature, 100.4°F (38℃); pulse, 60 beats/minute; respirations, 14 breaths/minute; blood pressure, 140/90mmHg. Which is the most appropriate intervention
A. Immediately administer the drug.
B. Administer the drug and call the physician.
C. Administer the drug and recheek vital signs.
D. Don’t administer the drug.
[单项选择]The physician inserts a chest tube into a client to treat a pneumothorax. The tube is connected to water-seal drainage. The nurse can prevent chest tube air leaks by()
A. keeping the chest drainage system below the level of the chest.
B. keeping the head of the bed slightly elevated.
C. checking and taping all connections.
D. checking patency of the chest tube.
[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]The nurse should encourage a client with a wound to consume foods high in vitamin C because this vitamin()
A. restores the inflammatory response.
B. enhances oxygen transport to tissues.
C. reduces edema.
D. enhances protein synthesis.
[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]A client has just finished his glucose tolerance test. How many hours should it take for his blood glucose level to return to normal()
A. 2 hours.
B. 3 hours.
C. 5 hours.
D. 6 hours.
[单项选择]The nurse is caring for a client who undergoes a total right knee replacement. The nurse would anticipate which of the following activity orders for this client on the first postoperative day()
A. Bed rest for 24 to 48 hours after surgery.
B. Ambulate with walker twice a day.
C. Up to chair with leg elevated.
D. Dangle at bedside for 20 minutes.
[单项选择]The client is taking carbamazepine (Tegretol) to treat his trigeminal neuralgia. While preparing the client’s teaching plan, which of the following instructions should the nurse include()
A. Limit physical activity while taking the drug.
B. Eliminate caffeine from the diet while taking drug.
C. Arrange to have a CBC drawn weekly.
D. Take the drug on an empty stomach.
[单项选择]When finding a depressed client crying, the most therapeutic response by the nurse to help the client explore feelings would be:( )
A. "Does crying help"
B. "I know you are upset. "
C. "Tell me what has upset you. "
D. "Do you want to tell me why you are crying/
[单项选择]A client who has been using crutches at home for t week reports that he is having trouble using the crutches because his armpits hurt and his fingers tingle. What would be the nurse’s most appropriate response()
A. "You need to do more arm exercises. It sounds like your muscles need strengthening. "
B. "That’s normal. As you adjust to the crutches, the discomfort will diminish. "
C. "Be sure to take your pain medication before ambulating. That will help your discomfort. "
D. "Let me watch you ambulate. Your crutches or technique may need some adjustment. "
[简答题]对于区域IV而言,进入区域IV的方向为“向内”,流出区域IV的方向为“向外”。表7.9中防火墙规则表示:防火墙允许Console与任何区域IV以外的机器收发POP3协议数据包,并在此基础上拒绝所有其他通信。
表7.9 防火墙规则
目 的 方 向 协议 行动
Console Any 向外 POP3 允许
Any Console 向内 POP3 允许
Any Any Any Any 拒绝
若允许控制台Console仅通过防火墙开放的Web服务配置防火墙FireWall,则在防火墙中应增加表7.10中的策略。
表7.10 策略
目 的 方向 协议 行动
Console FireWall  (3)   (4) 
[单项选择]The physician orders IV fluid volume replacement with lactated Ringer’s solution at a rate of 75 mL/hour. Using an infusion set that provides 15 gtt/mL, the nurse should calculate the flow rate to be()
A. 10 gtt/min.
B. 12 gtt/min.
C. 19 gtt/min.
D. 75 gtt/min.

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