更多"A client has had a cerebrovascular "的相关试题:
[单项选择]A client has had a cerebrovascular accident (CVA). Because the CVA affected the left side of the client’s brain, the nurse should anticipate that the client would most likely experience（ ）
A. dyslexia.
B. apraxia.
C. agnosia.
D. expressive aphasia.
[单项选择]After a cerebrovascular accident (CVA) a client develops aphasia. Which assessment finding is most typical in aphasia
A. Arm and leg weakness.
B. Absence of the gag reflex.
C. Difficulty swallowing.
D. Inability to speak clearly.
[单项选择]A client has had a total gastrectomy for gastric cancer. Which one of the following is the most appropriate expected outcomes about nutrition（ ）
A. The client will learn to self-administer enteral feedings every 4 hours.
B. The client will maintain adequate nutrition through oral or parenteral feedings.
C. The client will regain any weight lost within 4 weeks of the surgical procedure.
D. The client will eat three full meals a day without experiencing gastric complications.
[单项选择]Nursing measures for the client who has had an MI include helping the client to avoid activity that results in Valsalva’s maneuver. Valsalva’s maneuver may cause cardiac dysrhythmias, increased venous pressure, increased intrathoracic pressure, and thrombi dislodgment. Which of the following actions would help prevent Valsalva’s maneuver（ ）
A. Have the client drink fluids through a straw.
B. Have the client avoid holding her breath during activity.
C. Have the client assume a side-lying position.
D. Have the client clench her teeth while moving in bed.
[单项选择]The nurse is caring for a client who has had an above-the-knee amputation. The client refuses to look at the stump. When the nurse attempts to speak with the client about his surgery, he tells the nurse that he doesn’t wish to discuss it. The client also refuses to have his family visit. The nursing diagnosis that best describes the client’s problem is（）
A. hopelessness.
B. powerlessness.
C. disturbed body image.
D. fear.
[单项选择]When caring for a client who has had a cesarean birth, which of the following nursing interventions is least appropriate（ ）
A. Removing the initial dressing for incision inspection.
B. Monitoring pain status and providing necessary relief.
C. Supporting self-esteem concerns about delivery.
D. Assisting with parental neonate bonding.
[单项选择]A client who has recently had surgery for prostate cancer expresses to the nurse feelings of anger toward God, his church, and the clergy. Which intervention isn’t appropriate for this client（）
A. Acknowledging the client’s spiritual distress.
B. Inviting the client’s clergyman to visit him.
C. Encouraging the client to discuss religious beliefs and practices.
D. Encouraging the client to discuss concerns with the clergy.
[单项选择]The nurse is caring for a client who has just had a modified radical mastectomy with immediate reconstruction. She’s in her 30s and has two young children. Although she’s worried about her future, she seems to be adjusting well to her diagnosis. What should the nurse do to support her coping（）
A. Tell the client’s spouse or partner to be supportive while she recovers.
B. Encourage the client to proceed with the next phase of treatment.
C. Recommend that the client remain cheerful for the sake of her children.
D. Refer the client to the American Cancer Society’s Reach for Recovery program or another support program.
[单项选择]A client has a diagnosis of borderline personality disorder. She has attached herself to one nurse and refuses to speak with other staff members. She tells the nurse that the other nurses are mean, withhold her medication, and mistreat her. The staff is discussing this problem at their weekly conference. Which intervention would be most appropriate for the nursing staff to implement（ ）
A. Provide an unstructured environment for the client.
B. Rotate the nurses who are assigned to the client.
C. Ignore the client’s behaviors.
D. Bend unit rules to meet the client’s needs.
[单项选择]The client has a newly positive Mantoux skin test although she does not have active tuberculosis. Which medical therapy would be appropriate for her（）
A. Reevaluating the client’s condition every 6 months.
B. Performing a repeat skin test every 6 months.
C. Administering isoniazid for about 9 months.
D. Administering isoniazid until the skin test reverts to negative.
[单项选择]A client has been prescribed 75 mg of amitriptyline (Elavil) at bedtime and 15 mg of phenelzine (Nardil) three times per day. Which nursing action takes priority（）
A. Teaching the client about the adverse effects.
B. Calling the physician and questioning the order.
C. Instituting dietary restrictions.
D. Taking baseline vital signs.
[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]An unconscious client has been admitted with a head injury. Which of the following nursing diagnoses would receive the greatest priority in the plan of care（ ）
A. Disturbed sensory perception related to decreased level of consciousness.
B. Ineffective airway clearance related to inability to remove respiratory secretions.
C. Impaired gas exchange related to shallow irregular breathing.
D. Risk for injury related to disorientation and decreased level of consciousness.
[单项选择]Which client has the highest risk of ovarian cancer（）
A. 30-year-old woman taking oral contraceptive pills.
B. 45-year-old woman who has never been pregnant.
C. 40-year-old woman with three children.
D. 36-year-old woman who had her first child at age 22.
[单项选择]A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client（）
A. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) test annually.
B. The most common treatment is metronidazole (Flagyl), which should eradicate the problem within 7 to 10 days.
C. The potential for transmission to her sexual partner will be eliminated if condoms are used every time they have sexual intercourse.
D. The human papillomavirus (HPV), which causes condylomata aeuminata, can’t be transmitted during oral sex.
[单项选择]A client has sustained a right tibial fracture and has just had a cast applied. Which instruction should the nurse provide in his cast care（）
A. Cover the cast with a blanket until the cast dries.
B. Keep your right leg elevated above heart level.
C. Use a knitting needle to scratch itches inside the cast.
D. A foul smell from the cast is normal.
[单项选择]A client has a nasogastric tube inserted at the time of abdominal perineal resection with permanent colostomy. This tube will most likely be removed when the client demonstrates which of the following（）
A. Absence of nausea and vomiting.
B. Absence of stomach drainage for 24 hours.
C. Passage of mucus from the rectum.
D. Passage of flatus and feces from the colostomy.
[单项选择]A client has been diagnosed with type A hepatitis. What special precautions should the nurse take when caring for this client（）
A. Put on a mask and gown before entering the client’s room.
B. Wear gloves and a gown when removing the client’s bedpan.
C. Prevent the droplet spread of the organism.
D. Use caution when bringing food to the client.
[单项选择]A client has been placed on levodopa to treat his Parkinson’s disease. Which of the following is a common side effect of levodopa that the nurse should include in the client’s teaching plan（ ）
A. Pancytopenia.
B. Peptic ulcer.
C. Orthostatic hypotension.
D. Weight loss.
