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发布时间:2024-01-09 05:25:35

[单项选择]In teaching a female client who is HIV-positive about pregnancy, the nurse would know more teaching is necessary when the client says()
A. "The baby can get the virus from my placenta. "
B. "I’m planning on starting on birth control pills. "
C. "Not everyone who has the virus gives birth to a baby who has the virus. "
D. "I’ll need to have a C-section if I become pregnant and have a baby. ”

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[单项选择]The nurse is teaching a client who receives nitrates for the relief of chest pain. Which of the following instructions should the nurse emphasize()
A. Repeat the dose of sublingual nitroglycerin every 15 minutes for three doses.
B. Store the drug in a cool, well-lit place.
C. Lie down or sit in a chair for 5 to 10 minutes after taking the drug.
D. Restrict alcohol intake to two drinks per day.
[单项选择]The nurse is teaching a client who has been prescribed allopurinol for the treatment of gout. Which instruction would the nurse give to the client()
A. Increase alcohol intake while taking the drug.
B. Avoid foods that are rich in purine.
C. Take aspirin for pain.
D. Take the drug between meals to promote absorption.
[单项选择]The nurse is teaching a client who is 28 weeks pregnant and has gestational diabetes how to control her blood glucose levels. Diet therapy alone has been unsuccessful in controlling her blood glucose levels, so she has started insulin therapy. The nurse should consider the teaching effective when the client says()
A. "I won’t use insulin if I’m sick. "
B. "I need to use insulin each day. "
C. "If I give myself an insulin injection, I don’t need to watch what I eat. "
D. "I’ll monitor my blood glucose levels twice a week. "
[单项选择]A 35-year-old female client who complains of weight gain, facial hair, absent menstruation, frequent bruising, and acne is diagnosed with Cushing’s syndrome. Cushing’s syndrome is most likely caused by which of the following()
A. An ectopic corticotropin-secreting tumor.
B. Adrenal carcinoma.
C. A corticotropin-secreting pituitary adenoma.
D. An inborn error of metabolisrn.
[单项选择]The nurse is teaching a female client with osteoporosis about her prescribed diet. Which of the following foods is the best source of calcium()
A. 1 cup of low-fat yogurt.
B. 1 cup of skim milk.
C. 1 oz of cheddar cheese.
D. 1 cup of ice cream.
[单项选择]An elderly female client, who is quite confused and often does not recognize her children, is admitted to a nursing home. The client appears slovenly in attire, often soiling her clothing with feces and urine. The nurse can best manage this problem by( )
A. Putting the client into orientation therapy
B. Toileting the client at least once every 2 hours
C. Supervising the client’s bathroom activities closely
D. Explaining to the client how offensive her behavior is to others
[单项选择]The nurse is teaching a client recently diagnosed with myasthenia gravis. The nurse should teach the client that myasthenia gravis is caused by()
A. genetic dysfunction.
B. upper and lower motor neuron lesions.
C. decreased conduction of impulses in an upper motor neuron lesion.
D. a lower motor neuron lesion.
[单项选择]The nurse has been teaching the client strategies to prevent a recurrence of hemorrhoids. One strategy is maintaining a high-fiber diet. Which of the following breakfast menus is appropriate for the client()
A. Danish pastry, prune juice, coffee, and milk.
B. Oatmeal, milk, grapefruit wedges, and bran muffin.
C. Corn flakes, milk, white toast, and orange juice.
D. Scrambled eggs, bacon, English muffin, and apple juice.
[单项选择]The nurse is teaching a client about using vaginal medications. The nurse should instruct the client ()
A. use a tampon after insertion to increase medication absorption.
B. release and pull up on the applicator before removal.
C. never refrigerate suppositories.
D. use only a water-soluble lubricant when inserting a suppository.
[单项选择]The nurse is teaching a client with chronic bronchitis about breathing exercises. Which of the following should the nurse include in the teaching()
A. Make inhalation longer than exhalation.
B. Exhale through an open mouth.
C. Use diaphragmatic breathing.
D. Use chest breathing.
[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 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.
[单项选择]A depressed female client appears to show sadness in her nonverbal behavior. The nurse should plan to help the client to:( )
A. Increase her structured physical activity
B. Be able to carry out activities of daily living
C. Improve her ability to communicate with significant others
D. Deal with painful feelings by sharing them
[单项选择]The nurse is teaching a client and his family about dietary practices related to Parkinson’s disease. A priority for the nurse to address is risk of()
A. fluid overload and drooling.
B. aspiration and anorexia.
C. choking and diarrhea.
D. dysphagia and constipation.
[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 female client is being treated for genital herpes. The client should receive teaching on the
A. prevention of outbreaks of lesions.
B. need to abstain from sexual contact.
C. need to keep the perineal area moist.
D. need to wear tight-fitting nylon underwear.
[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]An elderly female client is admitted to a nursing home from the general hospital with a diagnosis of dementia of the Alzheimer’s type. One morning, after being in the nursing home for several days, the client is going to join a group of residents in recreational therapy. The nurse notes that the client has laid out several dresses on her bed but has not changed from her nightclothes. It would be most helpful for the nurse to( )
A. Remind the client to dress more quickly to avoid delaying the other residents
B. Help the client select appropriate attire and offer her assistance in getting dressed
C. Help the client dress and tell her what time the residents are expected at the activity
D. Allow the client as much time as she needs but explain that she is too late to attend this activity
[单项选择]The nurse is teaching the client how to use a cane. Which of the following statements is most inaccurate( )
A. The client should hold the cane on the involved side.
B. The client should hold the cane close to his body.
C. The stride length and the timing of each step should be equal.
D. The nurse should stand behind the client to prevent falls.

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