更多"A client’s chest X-ray reveals bila"的相关试题:
[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]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]A client reveals to the nurse that he’s sexually impotent. Which statement best expresses what the nurse should understand her client to mean（）
A. He’s disinterested in sexual intimacy.
B. He’s unable to attain or retain an erection.
C. His ejaculate is void of sperm.
D. His semen isn’t potent enough to impregnate.
[填空题]S2. The use of different sources reveals people’s{{U}} S2 {{/U}}on water.
[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 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.
[单项选择]Assessment of a client in active labor reveals meconium-stained amniotic fluid and fetal heart sounds in the upper right quadrant. Which of the following is the most likely cause of this situation（ ）
A. Breech position.
B. Late decelerations.
C. Entrance into the second stage of labor.
D. Multiple gestation.
[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.
[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]The nurse evaluates the client’s understanding of myasthenia gravis. The nurse would judge that the client has formed a realistic concept of her condition when she says（ ）
A. "By taking medication and pacing activities, I will live longer, but ultimately the disease will cause my death. "
B. "By taking medication and pacing activities, my fatigue will be relieved, but I should expect occasional periods of muscle weakness. "
C. "By taking medication and pacing activities, my symptoms will be controlled and eventually the disease will be cured. "
D. "By taking medication and pacing activities, I should be able to control the disease and enjoy a healthy lifestyle. /
[单项选择]During a client’s chemotherapy regimen for breast cancer, which is important for the nurse to include in her plan of care（）
A. Instruct the client to consume plenty of raw fruits and vegetables.
B. Take rectal temperatures for greater accuracy.
C. Tell the client to avoid crowds and infected individuals.
D. Ask friends and relatives not to visit during the course of chemotherapy.
[单项选择]To deal with a client’s hallucinations therapeutically, the nurse plans to（ ）
A. Reinforce the perceptual distortions until the client develops new defenses
B. Provide an unstructured environment and assign the client to a private room
C. Avoid helping the client make connections between anxiety-producing situations and hallucinations
D. Distract the client’s attention by providing a competing stimulus that is stronger than the hallucinations
[单项选择]The nurse observes that the client’s total parenteral nutrition (TPN) solution is infusing too slowly. The nurse calculates that the client has received 300 mL less than was ordered for the day. What should the nurse do next（）
A. Assess the infusion system, note the client’s condition, and notify the physician.
B. Discontinue the solution and administer dextrose in 5% water until the infusion problem is resolved.
C. Increase the flow rate to infuse an additional 300 mL over the next hour.
D. Maintain the flow rate at the current rate and document any discrepancy in the chart.
[单项选择]Which of these signs suggests that a client with syndrome of inappropriate antidiuretic hormone (SIADH) secretion has developed complications（）
A. Tetanic contractions.
B. Neck vein distention.
C. Weight loss.
D. Polyuria.
[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 nurse identifies a client’s responses to actual or potential health problems during which step of the nursing process（）
A. Assessment.
B. Analysis.
C. Planning.
D. Evaluation.
