更多"When caring for a client who has re"的相关试题:
[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]The nurse is caring for a client who has hemoconcentration after fluid loss. Which IV fluids would be the most appropriate fluid replacement therapy for this client（）
A. Distilled water.
B. Dextrose 5% in water (D5W) only.
C. DSW with 40 mEq of potassium chloride.
D. Dextrose 10% in saline.
[单项选择]The nurse is caring for a client who has generalized anxiety disorder. Which statement is true about this client（ ）
A. The client has regular obsessions.
B. Relaxation techniques and psychotherapy are necessary for cure.
C. Nightmares and flashbacks are common in individuals who suffer from generalized anxiety disorder.
D. Generalized anxiety disorder is characterized by anxiety that lasts longer than 6 months.
[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]The nurse is caring for a client who has a tracheostomy tube and is undergoing mechanical ventilation. The nurse can help prevent tracheal dilation, a complication of tracheostomy tube placement, by（）
A. suctioning the tracheostomy tube frequently.
B. using a cuffed tracheostomy tube.
C. using the minimal air leak technique with cuff pressure less than 25 cmH2O.
D. keeping the tracheostomy tube plugged.
[单项选择]The nurse is caring for a client who has a history of alcohol abuse. Why would the client act as if he didn’t have a problem（）
A. The client has never taken the CAGE questionnaire.
B. Denial is a defense mechanism commonly used by alcoholics.
C. Thought processes are distorted.
D. Alcohol is expensive.
[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]The nurse is caring for a comatose client who has suffered a closed head injury. What intervention should the nurse implement to prevent increases in intracranial pressure (ICP) （）
A. Suction the airway every hour and as needed.
B. Elevate the head of the bed 15 to 30 degrees.
C. Turn the client and change his position every 2 hours.
D. Maintain a well-lit room.
[单项选择]When caring for a client who is having her second baby, the nurse can anticipate the client’s labor will be which of the following（）
A. Shorter than her first labor.
B. About half as long as her first labor.
C. About the same length of time as her first labor.
D. A length of time that can’t be determined based on her first labor.
[单项选择]When caring for children who are sick, who have sustained traumas, or who are suffering from nutritional inadequacies, the nurse should know the correct hemoglobin (Hb) values
for children. Which of the following ranges would be inaccurate（）
A. Neonates. 10.6 to 16.5.
B. 3 months. 10.6 to 16.5.
C. 3 years. 9.4 to 15.5.
D. 10 years. 10.7 to 15.5.
[单项选择]The nurse is caring for a client who exhibits signs of somatization. Which of the following statements is most relevant（）
A. Clients with somatization are cognitively impaired.
B. Anxiety rarely coexists with somatization.
C. Somatization exists when medical evidence supports the symptoms.
D. Clients with somatization often have lengthy medical records.
[单项选择]The nurse is caring for a client who exhibits magical thinking. Which of the following best describes magical thinking（）
A. Strong positive and negative feelings that cause conflict.
B. Returning to an earlier developmental stage.
C. Meaningless repetition of words.
D. The belief that thoughts or wishes can control other people or events.
[单项选择]The nurse is caring for a client who is experiencing auditory hallucinations. What would be most critical for the nurse to assess（）
A. Possible hearing impairment.
B. Family history of psychosis.
C. Content of the hallucinations.
D. Possible sella turcica tumors.
[单项选择]The nurse is caring for a client who complains of lower back pain. Which instructions should the nurse give to this client to prevent back injury（）
A. Bend over the object you’re lifting.
B. Narrow the stance when lifting.
C. Push or puI1 an object using your arms.
D. Stand close to the object you’re lifting.
[单项选择]The nurse is caring for a client who recently underwent a total hip replacement. The nurse should（）
A. ease the client onto a low toilet seat.
B. allow the client’s legs to be crossed at the knees when out of bed.
C. use soft chairs when the client is sitting out of bed.
D. limit client hip flexion when sitting.
