更多"The nurse is caring a client in an "的相关试题:
[单项选择]The nurse is caring for a client with acute osteomyelitis in the right tibia. Which of the following measures is most appropriate when repositioning the client’s leg（ ）
A. Hold the leg by the ankle when repositioning to avoid touching the tibia.
B. Support the leg above and below the affected area when positioning.
C. Have the client move the leg by himself to decrease pain.
D. Apply warm moist compresses to the leg before repositioning.
[单项选择]The nurse is caring for a client with acute pulmonary edema. To immediately promote oxygenation and relieve dyspnea, which of the following interventions is appropriate（）
A. Administer oxygen.
B. Have the client take deep breaths and cough.
C. Place the client in high Fowler’s position.
D. Perform chest physiotherapy.
[单项选择]The nurse is caring for a client in acute renal failure. The nurse should expect hypertonic glucose, insulin infusions, and sodium bicarbonate to be used to treat
A. hypernatremia.
B. hypokalemia.
C. hyperkalemia.
D. hypercalcemia.
[单项选择]The nurse is caring for a client with an acute bleeding cerebral aneurysm. Which of the following activities is not appropriate in nursing care（）
A. Position the client to prevent airway obstruction.
B. Keep the client in one position to decrease bleeding.
C. Administer IV fluid as ordered and monitor the client for signs of fluid volume excess.
D. Maintain the client in a quiet environment.
[单项选择]The nurse is caring for a client in an acute manic state. What’s the most effective nursing action for this client（ ）
A. Assigning him to group activities.
B. Reducing his stimulation.
C. Assisting him with self-care.
D. Helping him express his feelings.
[单项选择]A respectable lawyer is admitted to an acute care facility with epigastric pain. Since admission, the client has called the nurse every 15 minutes with one request or another. Which of the following could explain this client’s behavior（）
A. Repression.
B. Somatization.
C. Regression.
D. Conversion.
[单项选择]The nurse provides care for a client with chronic obstructive pulmonary disease (COPD). Administering high doses of oxygen may produce what result（）
A. Increased respiratory drive.
B. Diminished respiratory drive.
C. A mismatch between ventilation and perfusion.
D. A profound decrease in partial pressure of arterial carbon dioxide (PaCO2).
[单项选择]A client is to be discharged from an acute care facility after treatment of right leg thrombophlebitis. The nurse notes that the client’s leg is pain free, without redness or edema. The nurse’s actions reflect which step in the nursing process
A. Assessment.
B. Analysis.
C. Implementation.
D. Evaluation.
[单项选择]The nurse is caring for a client with otosclerosis scheduled to undergo a stapedectomy. The client asks the nurse when her hearing will improve. Which response by the nurse is most appropriate（）
A. Your hearing may not improve but you’ll no longer be bothered by tinnitus.
B. Your hearing may be dramatically improved right after surgery.
C. You may notice improved hearing within 1 to 2 weeks.
D. Your hearing may improve 3 to 6 weeks after surgery.
[单项选择]The nurse is caring for a client with cholelithiasis. Which sign indicates obstructive jaundice（）
A. Straw-colored urine.
B. Reduced hematocrit.
C. Clay-colored stools.
D. Elevated urobilinogen in the urine.
[单项选择]The nurse is caring for a client with diabetes mellitus. When teaching the client about foot care, which instruction should the nurse provide（）
A. Examine feet once per week for redness, blisters, and abrasions.
B. Apply lotion to dry feet, especially between the toes.
C. Avoid hot-water bottles and heating pads.
D. Dry feet vigorously after each bath.
[单项选择]The nurse is caring for a client infected with methicillin-resistant Staphylococcus aureus (MRSA). What’s the major infection control measure to reduce MRSA and other nosocomial pathogens in a health care setting（）
A. Using antibacterial soap when bathing clients with MRSA.
B. Conducting culture surveys periodically.
C. Ensuring that personnel wash their hands before and after contact with every client.
D. Using specific housekeeping practices for environmental cleaning.
[单项选择]The nurse is caring for a client during the fourth stage of labor. Which of the following nursing interventions would be LEAST appropriate（）
A. Catheterization to protect the bladder from trauma.
B. Perineal assessments for swelling and bleeding.
C. Vital signs and fundal checks every 15 minutes.
D. Time with the neonate to initiate breast-feeding.
[单项选择]The nurse is caring for a client who exhibits signs of somatization. Which of the following statements is most relevant（）
A. Clients with somatization are cognitively impaired.
B. Anxiety rarely coexists with somatization.
C. Somatization exists when medical evidence supports the symptoms.
D. Clients with somatization often have lengthy medical records.
[单项选择]The nurse is caring for a client who complains of chronic pain. Given this complaint, why would the nurse simultaneously evaluate both general physical and psychosocial problems（）
A. Depression is commonly characterized by pain disorders and somatic complaints.
B. Combining evaluations will save time and allow for quicker delivery of health care.
C. Most insurance plans won’t cover evaluation of both as separate entities.
D. The physician doesn’t have the training to evaluate for psychosocial considerations.
[单项选择]The nurse is caring for a client who recently underwent a tracheostomy. The first priority when caring for a client with a tracheostomy is（）
A. helping him communicate.
B. keeping his airway patent.
C. encouraging him to perform activities of daily living.
D. preventing him from developing an infection.
[单项选择]The nurse is caring for a client who exhibits magical thinking. Which of the following best describes magical thinking（）
A. Strong positive and negative feelings that cause conflict.
B. Returning to an earlier developmental stage.
C. Meaningless repetition of words.
D. The belief that thoughts or wishes can control other people or events.
[单项选择]The nurse is caring for a client who is experiencing sinus bradycardia with a pulse rate of 40 beats/minute. His blood pressure is 80/50 mmHg and he complains of dizziness. Which medication would be used to treat his bradycardia（）
A. Atropine.
B. Dobutamine (Dobutrex).
C. Bretylium (Bretylol).
D. Lidocaine (Xylocaine).
[单项选择]The nurse is caring for a client undergoing IV antibiotic therapy with gentamicin sulfate. Which of the following interventions is most important（）
A. Infuse the medication quickly to minimize its irritating effect on the walls of blood vessels.
B. Obtain renal function tests, such as blood urea nitrogen (BUN) and creatinine levels, throughout the course of therapy.
C. Assess for pulmonary and peripheral edema.
D. Obtain an order for an antiemetic to counteract the common adverse effect of nausea.
