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发布时间:2024-02-01 20:33:23

[单项选择]The nurse is providing care for a pregnant client in her second trimester. Glucose tolerance test results show a blood glucose level of 160 mg/dL. The nurse should anticipate that the client will need to()
A. start using insulin.
B. start taking an oral antidiabetic drug.
C. monitor her urine for glucose.
D. be taught about diet.

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[单项选择]The nurse is providing care for a pregnant client. The client asks the nurse how she can best deal with her fatigue. The nurse should instruct her to()
A. take sleeping pills for a restful night’s sleep.
B. try to get more rest by going to bed earlier.
C. take her prenatal vitamins.
D. tell her not to worry because the fatigue will go away soon.
[单项选择]A 19-year-old pregnant client tells the nurse she’s concerned that she may not be able to take care of herself during her pregnancy. She states that prenatal care is expensive and her job doesn’t provide insurance. The nurse should recognize which of the following()
A. The client may not take care of herself.
B. The client may not be fit to take care of a child.
C. The client needs to take up a second job.
D. The client should be referred to community resources available for pregnant women.
[单项选择]The nurse is providing care for a pregnant 16-year-old client. The client says that she’s concerned she may gain too much weight and wants to start dieting. The nurse should respond by saying.()
A. "Now isn’t a good time to begin dieting because you are eating for two. "
B. "Let’s explore your feelings further. "
C. " Nutrition is important because depriving your baby of nutrients can cause developmental and growth problems. "
D. "The prenatal vitamins should ensure the baby gets all the necessary nutrients. ”
[单项选择]The nurse is providing care for a client with multiple myeloma, a disorder characterized by episodes of remissions and exacerbations. Which of the following resources can best help the client adapt to the disease()
A. The client’s family.
B. Support group.
C. Pastoral care.
D. Hospice care.
[单项选择]The nurse is providing care for a client who underwent mitral valve replacement. The best example of a measurable client outcome goal is to()
A. change his own dressing.
B. walk in the hallway.
C. walk from his room to the end of the hall and back before discharge.
D. eat a special diet.
[单项选择]The nurse is providing care to a client with catatonic type of schizophrenia who exhibits extreme negativism. To help the client meet his basic needs, the nurse should()
A. ask the client which activity he would prefer to do first.
B. negotiate a time when the client will perform activities.
C. tell the client specifically and concisely what needs to be done.
D. prepare the client ahead of time for the activity.
[单项选择]The nurse is providing home care to a client with failing vision due to macular degeneration. The nurse is concerned about the client’s safety. Which of the following activities would help to lessen the client’s risk of falling()
A. Arranging pieces of furniture close together so the client can use them for guidance and support.
B. Encouraging the client to wear a medical identification bracelet that describes the client’s visual deficit.
C. Installing a flashing light to indicate when the phone or doorbell is ringing.
D. Installing handrails in hallways, in bathrooms, and on steps.
[单项选择]The nurse is providing care to a 5-year-old client with a fractured femur whose nursing diagnosis is Imbalanced nutrition: less than body requirements related to impaired physical mobility. Which of the following is most likely to occur with this condition()
A. Decreased protein catabolism.
B. Increased calorie intake.
C. Increased digestive enzymes.
D. Increased carbohydrate need.
[单项选择]A pregnant client with premature rupture of the membranes has had contractions every 10 minutes. After 48 hours, the contractions stop and the client is to be discharged with home monitoring. The nurse discusses with the client about preterm labor symptoms. Which of the following statements made by the client indicates that she needs further instruction( )
A. "I should report contractions that occur every 10 minutes in 1 hour. "
B. "I should lie in bed on my left side if contractions begin. "
C. "I should call the doctor if my contractions occur every hour for 6 hours. "
D. "If I start having contractions, I should empty my bladder. /
[单项选择]The nurse provides care for a client with chronic obstructive pulmonary disease (COPD). Administering high doses of oxygen may produce what result()
A. Increased respiratory drive.
B. Diminished respiratory drive.
C. A mismatch between ventilation and perfusion.
D. A profound decrease in partial pressure of arterial carbon dioxide (PaCO2).
[单项选择]A pregnant client is taking folic acid. During prenatal teaching, which of the following foods would the nurse recommend as high in folic acid()
A. Egg yolks.
B. Fruit.
C. Bread.
D. Milk.
[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.
[单项选择]The nurse is providing care for a postoperative client who has undergone a small bowel resection. The nurse may use an epidural catheter for which of the following()
A. Antibiotic therapy.
B. Pain management.
C. Blood transfusion.
D. Anticoagulation.
[单项选择]The nurse is providing care for an immobilized client. For this client, the most appropriate and most effective nursing intervention would be
A. getting the client out of bed and into a chair for 30 minutes, twice daily.
B. avoiding repositioning the client if he’s comfortable.
C. repositioning the client on alternate sides at least every 2 hours.
D. positioning the client with the greatest pressure at the bony prominence.
[单项选择]The nurse is providing postprocedure care for a client who underwent percutaneous
lithotripsy. In this procedure, an ultrasonic probe inserted through a nephrostomy tube into the renal pelvis generates ultra-high-frequency sound waves to shatter renal calculi. The nurse should instruct the client to()
A. limit oral fluid intake for 1 to 2 weeks.
B. report the presence of fine, sandlike particles through the nephrostomy tube.
C. notify the physician about cloudy or foul-smelling urine.
D. report bright pink urine within 24 hours after the procedure.
[单项选择]The nurse is providing postoperative care for a client recovering from abdominal surgery. The client is receiving morphine through a client-controlled analgesia pump. Which finding would indicate that the client is obtaining adequate pain relief()
A. Awakening several times during the night to redose.
B. Respiratory rate of 10 breaths/minute.
C. Pain rating of 2 or 3 on a scale of 0 to 10.
D. Complaint of itching as an adverse effect of the analgesia.
[单项选择]The nurse is providing home care instructions to a client who has recently had a skin graft. Which instruction is most important for the client to remember()
A. Use cosmetic camouflage techniques.
B. Protect the graft from direct sunlight.
C. Continue physical therapy.
D. Apply lubricating lotion to the graft site.
[单项选择]The nurse is providing preoperative care to a client scheduled for an appendectomy. Which statement regarding pain control is most appropriate()
A. "There’s no need to ask for pain medication, you’ll receive it on a schedule. "
B. "Take your pain medication after walking so that you won’t feel dizzy. "
C. "Take your pain medication before your pain becomes intense. "
D. "Use as little pain medication as possible to avoid addiction. "

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