更多"A 54-year-old client has demonstrat"的相关试题:
[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 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 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 has a total serum cholesterol level of 326 mg/dL. The nurse explains to the client that this level()
A. is normal and requires no further treatment.
B. is high and will require dietary modification.
C. is low and requires no further treatment.
D. is borderline normal and may require dietary modification.
[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 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]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.
[单项选择]A client has just expelled a hydatidiform mole. She’s visibly upset over the loss and wants to know when she can try to become pregnant again. Which of the following would be the nurse’s best response( )
A. "I can see you’re upset. Why don’t we discuss this with you at a later time when you’re feeling better. "
B. "I can see that you’re upset; however, you must wait at least 1 year before becoming pregnant again. "
C. "Let me check with your physician and get you something that will help you relax. "
D. "Pregnancy should be avoided until all of your testing is normal. /
[单项选择]A client has been told to take ibuprofen (Motrin, Advil) to relieve the pain of her rheumatoid arthritis. Which of the following statements indicates the client understands how to take this drug safely and effectively()
A. "I should not take aspirin with this drug unless my physician says to. "
B. "I should not take this drug with antacids or food products. "
C. "I do not need to worry about this medicine irritating my stomach. "
D. "I should notice the effects of this medicine within the first few days. "
[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.