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[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
[填空题]If you want to live longer and lower the risk of heart disease, a move to the mountains may help. Research by scientists in Greece shows that mountain{{U}} (36) {{/U}}is good for the hem and {{U}} (37) {{/U}}.
People living at higher{{U}} (38) {{/U}}have lower odds of dying from heart disease than those closer to sea level, even if they have factors that could increase their risk.{{U}} (39) {{/U}}" in mountainous areas seems to have a{{U}} (40) {{/U}}effect’ from heart disease," said Dr. Nikos Baibas of the University of Athens. He and his colleagues{{U}} (41) {{/U}}that the increased exercise from walking up mountainous{{U}} (42) {{/U}}gives the heart a good{{U}} (43) {{/U}}. and enables it to cope with lower levels of oxygen. Researchers studied the health records and death rates of 1,150 Greeks who lived in three villages near Athens over 15 years. One village was 1,000 meters above sea level and the other two were in low-lying areas.{{U}} (44) {{/U}}. they ha
[单项选择]A psychiatric client who was voluntarily admitted now wishes to be discharged from the hospital, against medical advice. What’s the most important assessment the nurse should make of the client
A. Ability to care for himself.
B. Degree of danger to self and others.
C. Level of psychosis.
D. Intended compliance with aftercare.
[单项选择]A client who received general anesthesia returns from surgery. Postoperatively, which nursing diagnosis takes highest priority for this client（）
A. Acute pain related to surgery.
B. Deficient fluid volume related to blood and fluid loss from surgery.
C. Impaired physical mobility related to surgery.
D. Risk for aspiration related to anesthesia.
[单项选择]A client who recently had a cerebrovascular accident requires a cane to ambulate. When teaching about cane use, the rationale for holding a cane on the uninvolved side is to（）
A. prevent leaning.
B. distribute weight away from the involved side.
C. maintain stride length.
D. prevent edema.
[单项选择]A client is at risk for developing a pressure ulcer. The first warning of an impending pressure ulcer is when pressure applied to skin it turns（ ）
A. whitish.
B. yellowish.
C. bluish.
D. reddish.
[单项选择]Following an earthquake, a client who was rescued from a collapsed building is seen in the emergency department. He has blunt trauma to the thorax and abdomen. Which nursing observation most suggests the client is bleeding（）
A. Prolonged partial thromboplastin time (PTT).
B. Recent history of warfarin (Coumadin) usage.
C. Diminished breath sounds.
D. Orthostatic hypotension.
[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]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.
