更多"A 2-year-old client returns from su"的相关试题:
[单项选择]Immediately after a 1-year-old client returns from a cardiac catheterization, the nurse notes that the pulse distal to the catheter insertion site is weak. The nurse should take which of the following actions（）
A. Remove the pressure bandage from the insertion site.
B. Perform passive exercises on the affected extremity.
C. Notify the physician of the assessment.
D. Record the data on the nursing notes and continue to evaluate.
[单项选择]Nursing care for a client after electroeonvulsive therapy (ECT) should include which of the following（）
A. Nothing by mouth for 24 hours after the treatment because of the anesthetic agent.
B. Bed rest for the first 8 hours after a treatment.
C. Assessment of short-term memory loss.
D. No special care.
[单项选择]The nursing care plan for a client after gynecologic surgery includes nursing orders intended to help reduce the risk of thrombophlebitis. Which is not appropriate among the following nursing interventions（ ）
A. Ambulate the client.
B. Massage the client’s legs.
C. Have the client wear elasticized stockings.
D. Have the client perform range-of-motion exercises in bed.
[单项选择]The nurse is planning care for a client after a tracheostomy. One of the client’s goals is to overcome verbal communication impairment. Which of the following interventions should the nurse include in the care plan（）
A. Make an effort to read the client’s lips to foster communication.
B. Encourage the client’s communication attempts by allowing him time to select or write words.
C. Answer questions for the client to reduce his frustration.
D. Avoid using a tracheostomy plug because it blocks the airway.
[单项选择]The nurse is assessing a client suffering from stress and anxiety. A common physiological response to stress and anxiety is（）
A. sedation.
B. diarrhea.
C. vertigo.
D. urticaria.
[单项选择]A client has severe pruritus from hepatitis B. Which of the following nursing measures would best enhance the client’s comfort
A. Use hot water to increase vasodilation.
B. Use cold water to decrease itching sensation.
C. Give tepid water baths.
D. Avoid lotions and creams.
[单项选择]A client returns from a myelogram, for which an iodized oil (Pantopaque) was used. Which one of the following nursing measures would be included in his care（）
A. Bed rest with bathroom privileges.
B. Restricted fluid intake.
C. Head of the bed elevated 45 degrees.
D. Assessment of lower extremity movement and sensation.
[填空题]
A．After
B．from
C．has worked
D．in
(After) his graduation (from) the university, he (has worked) (in) a famous computer company.
[单项选择]A client is recovering from coronary artery bypass grafting (CABG) surgery. The nurse knows that for several weeks after this procedure, the client is at risk for certain conditions. During discharge preparation, the nurse should advise the client and family to expect which common, spontaneously resolving symptom（）
A. Depression.
B. Ankle edema.
C. Memory lapses.
D. Dizziness.
[单项选择]After cancer chemotherapy, a client develops nausea and vomiting. For this client, the nurse should give the highest priority to which action in the plan of care（）
A. Serve small portions of bland food.
B. Encourage rhythmic breathing exercise.
C. Administer metoclopramide (Reglan) and dexamethasone (Decadron) as prescribed.
D. Withhold fluids for the first 4 to 6 hours after chemotherapy administration.
[单项选择]A client is admitted for detoxification after a cocaine overdose. The client tells the nurse that he frequently uses cocaine but that he can control his use if he chooses. Which coping mechanism is he using（）
A. Withdrawal.
B. Logical thinking.
C. Repression.
D. Denial.
[单项选择]A female client is discharged from the hospital after having an episode of heart failure. She’s prescribed daily oral doses of digoxin (Lanoxin) and furosemide (Lasix). Two days later, she tells her community health nurse that she feels weak and frequently feels her heart "flutter. " What action should the nurse take（）
A. Tell the client to rest more often.
B. Tell the client to stop taking the digoxin, and call the physiciarn.
C. Call the physician, report the symptoms, and request to draw a blood sample to determine the client’s potassium level.
D. Tell the client to avoid foods that contain caffeine.
[单项选择]A client is recovering from a gastric resection for peptic ulcer disease. Which of the following outcomes indicates that the goal of adequate nutritional intake is being achieved 3 weeks following surgery（）
A. Increases food intake and tolerance gradually.
B. Experiences occasional episodes of nausea and vomiting.
C. Experiences a rapid weight gain within 1 week.
D. Drinks 2000 mL/day of water.
[单项选择]A client is brought to the hospital after vomiting bright red blood and is admitted through the emergency department with a diagnosis of bleeding duodenal ulcer. While the client is bleeding, it will be essential for the nurse to assess frequently for signs of early shock. Which one of the following is an important indicator of early shock（）
A. Tachycardia.
B. Dry, flushed skin.
C. Increased urine output.
D. Loss of consciousness.
[单项选择]A client reports a severe headache shortly after a lumbar puncture for a myelogram. What would be the nurse’s best response（）
A. Increase the client’s fluid intake.
B. Administer prescribed antihypertensives.
C. Offer roll lenses to the client.
D. Place cooling packs over the lumbar puncture site.
[单项选择]After delivering her second child, the client tells the nurse that she wants to breast-feed. She indicates that she was unsuccessful at breast-feeding her first child and that she bottle-fed after 3 days of trying to nurse. Which of the following responses would best support this client’s breast-feeding efforts（）
A. "I’ll make sure that you’re seen by the lactation consultant before you’re discharged. "
B. "It’s important to room-in with your neonate so that you can respond to her nursing: cues, "
C. "Don’t worry, every baby is different, and I’m sure that you’ll be successful this time. "
D. "Breast-feeding is possible but you must be committed to it. "
[单项选择]During the first 24 hours after a client is diagnosed with addisonian crisis, which of the following should the nurse perform frequently（）
A. Weigh the client.
B. Test urine for ketones.
C. Assess vital signs.
D. Administer oral hydrocortisone.
[单项选择]After a client receives an IM injection, he complains of burning pain in the injection site. Which nursing action would be the best to take at this time（）
A. Apply a cold compress to decrease swelling.
B. Apply a warm compress to dilate the blood vessels.
C. Massage the area to promote absorption of the drug.
D. Instruct the client to tighten his gluteal muscles to promote better absorption.
[单项选择]After determining that a pregnant client is Rh-negative, the physician orders an indirect Coombs’test. What’s the purpose of performing this test on a pregnant client（ ）
A. To determine the fetal blood Rh factor.
B. To determine the maternal blood Rh factor.
C. To detect maternal antibodies against fetal Rh-positive factor.
D. To detect maternal antibodies against fetal Rh-negative factor.
