更多"The nurse should encourage a client"的相关试题:
[单项选择]The nurse notices that a client’s abdominal wound has eviscerated. Which of the following would the nurse do first（）
A. Notify the client’s physician immediately.
B. Reinsert the protruding viscera into the abdominal cavity.
C. Place the client in reverse Trendelenburg’s position.
D. Cover the wound with sterile saline-moistened dressings.
[单项选择]The overweight adolescent client tells the nurse that he would like to lose weight and asks the nurse’s opinion on how to accomplish his goal. Which of the following suggestions would be most appropriate（）
A. Exercising more often.
B. Severely limiting calorie intake.
C. Participating in an adolescent weight-reduction program.
D. Cutting clown on sweets and other snacks.
[单项选择]The nurse is planning care for a client admitted to the psychiatric unit with a diagnosis of paranoid schizophrenia. Which nursing diagnosis should receive the highest priority（）
A. Risk for self- or other-directed violence.
B. Imbalanced nutrition.
C. Ineffective coping.
D. Impaired verbal communication.
[单项选择]The client experiences a wound evisceration on day 2 after the abdominal hysterectomy. What should the nurse immediately do（ ）
A. Approximate the wound edges by applying strips of adhesive over the wound.
B. Cover the exposed tissues with sterile dressings moistened with normal saline solution.
C. Replace the abdominal contents into the wound carefully while wearing gloves.
D. Apply a loose-fitting sterile abdominal binder over the wound.
[单项选择]The nurse is caring for a client who underwent a total hip replacement. What should the nurse and other caregivers do to prevent dislocation of the new prosthesis（）
A. Keep the affected leg in a position of adduction.
B. Use measures other than turning to prevent pressure ulcers.
C. Prevent internal rotation of the affected leg.
D. Keep the hip flexed by placing pillows under the client’s knee.
[单项选择]The nurse is caring for a client who undergoes a total right knee replacement. The nurse would anticipate which of the following activity orders for this client on the first postoperative day（）
A. Bed rest for 24 to 48 hours after surgery.
B. Ambulate with walker twice a day.
C. Up to chair with leg elevated.
D. Dangle at bedside for 20 minutes.
[单项选择]The nurse is performing wound care. Which of the following practices violates surgical asepsis（）
A. Holding sterile objects above the waist.
B. Considering a 1" (2.5 cm) edge around the sterile field as being contaminated.
C. Pouring solution onto a sterile field cloth.
D. Opening the outermost flap of a sterile package away from the body.
[单项选择]A client asks the nurse what PSA is. The nurse should reply that it stands for（）
A. prostate-specific antigen, used to screen for prostate cancer.
B. protein serum antigen, used to determine protein levels.
C. pneumococcal strep antigen, a bacteria that causes pneumonia.
D. papanicolaou-specific antigen, used to screen for cervical cancer.
[单项选择]During a morning assessment, the nurse percusses tympany. The nurse understands that tympany is a loud, high-pitched, moderately long sound with a drumlike, musical quality that’s most commonly heard over the（）
A. heart.
B. liver.
C. pancreas.
D. stomach.
[单项选择]An 18-year-old primagravida tells the nurse that the physician told her that she needed to increase her intake of thiamine (vitamin Bi) in her diet. Which of the following foods should the nurse instruct the client to consume more（）
A. Milk.
B. Rice.
C. Asparagus.
D. Beef.
[单项选择]A client tells the nurse that she has been working hard for the last 3 months to control her type 2 (non-insulin-dependent) diabetes mellitus with diet and exercise. To determine the effectiveness of the client’s efforts, the nurse should check（）
A. urine glucose level.
B. fasting blood glucose level.
C. serum fructosamine level.
D. glycosylated hemoglobin (Hb) level.
[单项选择]During a conversation with the client, the nurse observes the client shaking his leg and tapping his fingers on the table next to him. The nurse’s best statement is.（ ）
A. "I’ll get you something to help you feel less anxious. "
B. "I know that you feel anxious. Let’s discuss something more pleasant. "
C. "I see that you’re anxious. I’ll be back later when you’re calmer. "
D. "I noticed that your leg is shaking and you’re tapping your fingers on the table. How are you feeling now/
[单项选择]A client has approached the nurse asking for advice on how to deal with his alcohol addiction. The nurse should tell the client that the only effective treatment for alcoholism is（）
A. psychotherapy.
B. total abstinence.
C. Alcoholics Anonymous (AA).
D. aversion therapy.
[单项选择]One morning a client tells the nurse, "my legs are turning to rubber because I have an incurable disease called schizophrenia. " The nurse recognizes that this is an example of（ ）
A. A hallucination
B. Paranoid thinking
C. Depersonalization
D. Autistic verbalization
[单项选择]The nurse instructs the client with hemorrhoids about how to decrease the discomfort. Which of the following interventions would be most likely recommended by the nurse（）
A. Decrease fiber in the diet.
B. Decrease physical activity.
C. Take laxatives to promote bowel movements.
D. Use warm sitz baths.
[单项选择]The nurse instructs the client with diabetes mellitus that it is vital to recognize and treat hypoglycemia promptly based on which of the following knowledge（）
A. Hypoglycemia can cause brain damage.
B. Hypoglycemia necessitates increased insulin dosage.
C. The client may become dehydrated quickly.
D. The client may become confused, increasing the risk of injury.
[单项选择]While admitting a client with pneumonia, the nurse notes multiple bruises in various stages of healing. The client has Alzheimer’s disease and a history of multiple fractures. Legally, the most important action for the nurse to take is to（）
A. document findings thoroughly.
B. question the client about the bruising.
C. inform appropriate local authorities.
D. tell the client’s physician.
[单项选择]A psychotic client reports to the evening nurse that the day nurse put something suspicious in his water with his medication. The nurse replies, "You’re worried about your medication" The nurse’s communication is（）
A. an example of presenting reality.
B. reinforcing the client’s delusions.
C. focusing on emotional content.
D. a nontherapeutic technique called mind reading.
[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.
