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发布时间:2024-02-01 22:03:14

[单项选择]A client with a pneumothorax receives a chest tube attached to a Pleur-evac. The nurse notices that the fluid of the second chamber of the Pleur-evac isn’t bubbling. Which nursing assumption would be most invalid()
A. The tubing from the client to the chamber is blocked.
B. There is a leak somewhere in the tubing system.
C. The client’s affected lung has reexpanded.
D. The tubing needs to be cleared of fluid.

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[单项选择]After insertion of a chest tube for a pneumothorax, a client becomes hypotensive with neck vein distention, tracheal shift, absent breath sounds, and diaphoresis. The nurse suspects a tension pneumothorax has occurred. What cause of tension pneumothorax should the nurse check for<()
A. Infection of the lung.
B. Kinked or obstructed chest tube.
C. Excessive water in the water-seal chamber.
D. Excessive chest tube drainage.
[单项选择]The physician inserts a chest tube into a client to treat a pneumothorax. The tube is connected to water-seal drainage. The nurse can prevent chest tube air leaks by()
A. keeping the chest drainage system below the level of the chest.
B. keeping the head of the bed slightly elevated.
C. checking and taping all connections.
D. checking patency of the chest tube.
[单项选择]When reporting to the surgeon that a chest tube is malfunctioning, the nurse is ordered to reposition the tube and obtain a chest radiograph. The nurse should()
A. inform the surgeon this isn’t within her scope of practice.
B. report the surgeon to the Ethics Committee.
C. report the surgeon to the nursing supervisor.
D. follow the order as requested by the surgeon.
[单项选择]The client with a total laryngectomy receives tube feedings to meet his fluid and nutrition needs. The nurse explains to the client that the purpose of the tube feedings is to
A. prevent pain from swallowing.
B. prevent fistula development.
C. ensure adequate intake.
D. allow for adequate suture line healing.
[单项选择]When assessing a client with chest pain, the nurse obtains a thorough history. Which statement by the client is most suggestive of angina pectoris()
A. "The pain lasted for about 45 minutes. "
B. "The pain resolved after I ate a sandwich. "
C. "The pain worsened when I took a deep breath. "
D. "The pain occurred while I was mowing the lawn. "
[单项选择]While inspecting the client’s chest, the nurse notes that the chest wall contracts on inspiration and bulges on expiration. The nurse suspects which of the following problem from this assessment()
A. Hemothorax.
B. Flail chest.
C. Pneumothorax.
D. Tension pneumothorax.
[单项选择]A client reports substernal chest pain. Test results show electrocardiograph changes and an elevated cardiac troponin level. Which of the following should be the focus of nursing care()
A. Improving myocardial oxygenation and reducing cardiac workload.
B. Confirming a suspected diagnosis and preventing complications.
C. Reducing anxiety and relieving pain.
D. Eliminating stressors and providing a nondemanding environment.
[单项选择]A client’s chest X-ray reveals bilateral white-outs, indicating adult respiratory distress syndrome (ARDS). This syndrome results from()
A. cardiogenic pulmonary edema.
B. respiratory alkalosis.
C. increased pulmonary capillary permeability.
D. renal failure.
[单项选择]A client who suffered blunt chest trauma in a car accident complains of chest pain, which is exacerbated by deep inspiration. On auscultation, the nurse detects a pericardial friction rub--a classic sign of acute pericarditis. To relieve chest pain associated with pericarditis, the nurse should encourage the client to assume which position()
A. Semi-Fowler’s.
B. Leaning forward while sitting.
C. Supine.
D. Prone.
[简答题]The first impression that a client receives about a business is very often through a telephone contact. A caller who is left hanging on "hold" will get the feeling that he or she has been forgotten or ignored. If a call is answered rudely, the caller may become angry.
[单项选择]The client with a head injury receives mannitol (Osmitrol) during surgery to help decrease intracranial pressure. Which of the following nursing observations would most likely indicate that the drug is having the desired effect()
A. Urine output increases.
B. Pulse rate decreases.
C. Blood pressure decreases.
D. Muscular relaxation increases.
[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]After a client receives an IM injection, he complains of burning pain in the injection site. Which nursing action would be the best to take at this time()
A. Apply a cold compress to decrease swelling.
B. Apply a warm compress to dilate the blood vessels.
C. Massage the area to promote absorption of the drug.
D. Instruct the client to tighten his gluteal muscles to promote better absorption.
[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.
[填空题]client
[填空题]
Bill Gates receives honorary knighthood

Britain’s Queen Elizabeth stands with Microsoft chairman and philanthropist Bill Gates after presenting him with an honorary knighthood at Buckingham Palace, London, March 2, 2005.
Sir Bill Not quite. Proclaiming himself "humbled and delighted," Microsoft founder Bill Gates received an honorary knighthood Wednesday from Queen Elizabeth Ⅱ—an accolade that allows the recipient to use "KBE" after his (1) , but not to put "Sir" in front of it.
One of the world’s richest men, Gates, 49, was (2) honored for his charitable activities around the world and his contribution (3) enterprises in Britain.
Past recipients of the honorary knighthood (4) from Irish singer Bob Geldof to former U.S. President Ronald Reagan.
"This (5) is particularly poignant given the deep connections Microsoft enjoys (6) the United Kingdom

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