更多"When assessing a client as a candid"的相关试题:
[单项选择]When assessing a client with partial thickness burns over 60% of the body, which of the following should the nurse report immediately（）
A. Complaints of intense thirst.
B. Moderate to severe pain.
C. Urine output of 70 mL the 1st hour.
D. Hoarseness of the voice.
[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]The nurse is assessing a client with an ileal conduit. She notes that the client’s urinary appliance contains pale yellow urine with large amounts of mucus. How would the nurse best interpret these data（ ）
A. These findings are normal for the client.
B. There is irritation of the stoma.
C. The client is developing an infection of the urinary tract.
D. The mucus is caused by elevated levels of glucose in the urine.
[单项选择]The nurse is assessing a client with possible Cushing’s syndrome. In a client with Cushing’s syndrome, the nurse would expect to find（）
A. hypotension.
B. thick, coarse skin.
C. deposits of adipose tissue in the trunk and dorsocervical area.
D. weight gain in arms and legs.
[单项选择]While assessing a client who complained of lower abdominal pressure, the nurse notes a firm mass extending above the symphysis pubis. The nurse suspects（）
A. a urinary tract infection.
B. renal calculi.
C. an enlarged kidney.
D. a distended bladder.
[单项选择]The nurse is assessing a client diagnosed with appendicitis. Which of the following signs or symptoms should the nurse expect to find
A. Rigid abdomen, Levine’s sign, pain relief leaning forward.
B. Rebound tenderness, McBurney’s sign, low-grade fever.
C. Right lower quadrant pain, Chvostek’s sign, muscle guarding.
D. Periumbilical pain, Trousseau’s sign, pain relief with pressure.
[单项选择]The nurse is assessing a client with heart failure. The breath sounds commonly auscultated in clients with heart failure are（）
A. tracheal.
B. fine crackles.
C. coarse crackles.
D. friction rubs.
[单项选择]The nurse is assessing a client suffering from stress and anxiety. A common physiological response to stress and anxiety is（）
A. sedation.
B. diarrhea.
C. vertigo.
D. urticaria.
[单项选择]The nurse is assessing a client with possible osteoarthritis. The most significant risk factor for osteoarthritis is（）
A. congenital deformity.
B. age.
C. trauma.
D. obesity.
[单项选择]The nurse is assessing a client who gave birth yesterday. Where should the nurse expect to find the top of the client’s fundus（）
A. One fingerbreadth above the umbilicus.
B. One fingerbreadth below the umbilicus.
C. At the level of the umbilicus.
D. Below the symphysis pubis.
[单项选择]The nurse is assessing an elderly client for dementia. Which of the following is a primary symptom of dementia
A. Neurosis.
B. Loss of impulse control.
C. Psychosis.
D. Memory loss.
[单项选择]The nurse is assessing a postcraniotomy client and finds the urine output from a catheter is 1,500 mL for the 1st hour and the same for the 2nd hour. The nurse should suspect（）
A. Cushing’s syndrome.
B. diabetes mellitus.
C. adrenal crisis.
D. diabetes insipidus.
[单项选择]The client asks when he can stop taking the eye medication for his chronic open-angle glaucoma. Which would be the nurse’s best response（）
A. "You can stop using the eye drops when your vision improves. "
B. "You Need to use the eye drops only when you has symptoms. "
C. "You can discontinue the eye drops after 2 months of normal eye examinations. "
D. "You must use the eye medication for the rest of his life. "
[填空题]When assessing different attitudes toward disclosure, we should take ______ into consideration.
[单项选择]When assessing a preschooler who has sustained a head trauma, the nurse notes that the child appears to be obtunded. Which of the following denotes the child’s level of consciousness（）
A. No motor or verbal response to noxious (painful) stimuli.
B. Remains in a deep sleep; responsive only to vigorous and repeated stimulation.
C. Can be aroused with stimulation.
D. Limited spontaneous movement; sluggish speech.
[单项选择]When assessing the fetal heart rate tracing, the nurse becomes concerned about the fetal heart rate pattern. In response to the loss of variability, the nurse repositions the client to her left side and administers oxygen. These actions are likely to improve which of the following（）
A. Fetal hypoxia.
B. The contraction pattern.
C. The status of a trapped cord.
D. Maternal comfort.
