更多"The nurse notices that a client wit"的相关试题:
[单项选择]The nurse notices that a client’s abdominal wound has eviscerated. Which of the following would the nurse do first（）
A. Notify the client’s physician immediately.
B. Reinsert the protruding viscera into the abdominal cavity.
C. Place the client in reverse Trendelenburg’s position.
D. Cover the wound with sterile saline-moistened dressings.
[单项选择]The nurse notices that a depressed client taking amitriptyline (Elavil) for 2 weeks has become very outgoing, cheerful, and talkative. The nurse would suspect which of the following（ ）
A. The client is responding to the antipsychotic.
B. The client may be experiencing increased energy and is at an increased risk for suicide.
C. The client is ready to be discharged from treatment.
D. The client is experiencing a split personality.
[单项选择]The nurse notices that the client’s pupils are fixed and dilated. What does this finding indicate（）
A. The client is permanently paralyzed.
B. The client is going to be blind as a result of an injury.
C. The client probably has meningitis.
D. The client has received a significant brain injury.
[单项选择]The nurse inspects a client’s back and notices small hemorrhagic spots. The nurse documents that the client has（）
A. extravasation.
B. osteomalacia.
C. petechiae.
D. uremia.
[单项选择]A client asks the nurse what PSA is. The nurse should reply that it stands for（）
A. prostate-specific antigen, used to screen for prostate cancer.
B. protein serum antigen, used to determine protein levels.
C. pneumococcal strep antigen, a bacteria that causes pneumonia.
D. papanicolaou-specific antigen, used to screen for cervical cancer.
[单项选择]The nurse notices muscle twitching in the hands and forearms of the client with pancreatitis. The nurse would report these symptoms immediately because clients with pancreatitis are at serious risk for which of the following problems
A. Hypermagnesemia.
B. Hyperkalemia.
C. Hypoglycemia.
D. Hypocalcemia.
[单项选择]The overweight adolescent client tells the nurse that he would like to lose weight and asks the nurse’s opinion on how to accomplish his goal. Which of the following suggestions would be most appropriate（）
A. Exercising more often.
B. Severely limiting calorie intake.
C. Participating in an adolescent weight-reduction program.
D. Cutting clown on sweets and other snacks.
[单项选择]A client tells the nurse that she has been working hard for the last 3 months to control her type 2 (non-insulin-dependent) diabetes mellitus with diet and exercise. To determine the effectiveness of the client’s efforts, the nurse should check（）
A. urine glucose level.
B. fasting blood glucose level.
C. serum fructosamine level.
D. glycosylated hemoglobin (Hb) level.
[单项选择]During a conversation with the client, the nurse observes the client shaking his leg and tapping his fingers on the table next to him. The nurse’s best statement is.（ ）
A. "I’ll get you something to help you feel less anxious. "
B. "I know that you feel anxious. Let’s discuss something more pleasant. "
C. "I see that you’re anxious. I’ll be back later when you’re calmer. "
D. "I noticed that your leg is shaking and you’re tapping your fingers on the table. How are you feeling now/
[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]The nurse caring for a 3-day-old neonate notices that he looks slightly jaundiced. Although not a normal finding, it’s an expected finding of physiologic jaundice and is caused by which of the following（）
A. Poor clotting mechanism.
B. High hemoglobin (Hb) levels between 14 and 20 g/dL per 100 mL of blood.
C. Persistent fetal circulation.
D. Large, immature liver.
[单项选择]One morning a client tells the nurse, "my legs are turning to rubber because I have an incurable disease called schizophrenia. " The nurse recognizes that this is an example of（ ）
A. A hallucination
B. Paranoid thinking
C. Depersonalization
D. Autistic verbalization
[单项选择]While admitting a client with pneumonia, the nurse notes multiple bruises in various stages of healing. The client has Alzheimer’s disease and a history of multiple fractures. Legally, the most important action for the nurse to take is to（）
A. document findings thoroughly.
B. question the client about the bruising.
C. inform appropriate local authorities.
D. tell the client’s physician.
[单项选择]A psychotic client reports to the evening nurse that the day nurse put something suspicious in his water with his medication. The nurse replies, "You’re worried about your medication" The nurse’s communication is（）
A. an example of presenting reality.
B. reinforcing the client’s delusions.
C. focusing on emotional content.
D. a nontherapeutic technique called mind reading.
[单项选择]The nurse instructs the client with hemorrhoids about how to decrease the discomfort. Which of the following interventions would be most likely recommended by the nurse（）
A. Decrease fiber in the diet.
B. Decrease physical activity.
C. Take laxatives to promote bowel movements.
D. Use warm sitz baths.
[单项选择]The nurse instructs the client with diabetes mellitus that it is vital to recognize and treat hypoglycemia promptly based on which of the following knowledge（）
A. Hypoglycemia can cause brain damage.
B. Hypoglycemia necessitates increased insulin dosage.
C. The client may become dehydrated quickly.
D. The client may become confused, increasing the risk of injury.
[单项选择]A 69-year-old client asks the nurse what the difference is between osteoarthritis (OA) and rheumatoid arthritis (RA). Which response is correct
A. OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen joints.
B. OA and RA are very similar. OA affects the smaller joints, and RA affects the larger, weight-bearing joints.
C. OA affects joints on both sides of the body. RA is usually unilateral.
D. OA is more common in women. RA is more common in men.
[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 instructs the female client concerning hormone replacement therapy for menopausal symptoms. Which of the following points should the nurse include in the client’s teaching plan（ ）
A. Estrogen therapy eliminates the need for supplemental calcium intake.
B. Estrogen therapy can reduce the risk of menopausal bone loss.
C. The risk of uterine cancer is decreased after menopause.
D. Smoking is associated with a later onset of menopause.
