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发布时间:2024-06-27 05:35:02

[单项选择]The nurse is caring for a child with leukemia. Which of the following should the nurse priority pay more attention to( )
A. Preventing injury.
B. Monitoring the child’s platelet count.
C. Monitoring the child’s temperature.
D. Encouraging increased fluid intake.

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[单项选择]The nurse is caring for a child with leukemia. Which of the following should the nurse priority pay more attention to()
A. Preventing injury.
B. Monitoring the child’s platelet count.
C. Monitoring the child’s temperature.
D. Encouraging increased fluid intake.
[单项选择]The nurse is caring for a 10-year-old child with rheumatic fever. While obtaining the child’s health history from the mother, the nurse should ask if the child recently had which illness()
A. Strep throat.
B. Influenza.
C. Chickenpox.
D. Mononucleosis.
[单项选择]The nurse is caring for a woman with phenylketonuria who wants to start a family. Which of the following guidelines should the nurse provide the woman()
A. Follow a low-phenylalanine diet before trying to conceive.
B. A low-phenylalanine diet is necessary only during the first trimester.
C. Begin a low-phenylalanine diet when pregnancy is confirmed.
D. Dietary restrictions won’t be necessary.
[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 neonate with congenital clubfoot. The child has a cast to correct the defect. Before discharge, what should the nurse tell the parents()
A. "The cast will be removed in 6 weeks. "
B. "A new cast is needed every 1 to 2 weeks. "
C. "A short leg cast is applied when the baby is ready to walk. "
D. "The cast will be removed when the baby begins to crawl. "
[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 bedridden, elderly adult. To prevent pressure ulcers, which intervention should the nurse include in the care plan()
A. Turn and reposition the client a minimum of every 8 hours.
B. Vigorously massage lotion into bony prominences.
C. Post a turning schedule at the client’s bedside.
D. Slide the client, rather than lift, when turning.
[单项选择]The nurse is caring for a toddler in respiratory arrest. The nurse will assist with endotracheal intubation and use an uncurled tube because the()
A. vocal cords provide a natural seal.
B. trachea is shorter.
C. larynx is anterior and cephalad.
D. cricoid cartilage is the narrowest part of the larynx.
[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 comatose client who has suffered a closed head injury. What intervention should the nurse implement to prevent increases in intracranial pressure (ICP) ()
A. Suction the airway every hour and as needed.
B. Elevate the head of the bed 15 to 30 degrees.
C. Turn the client and change his position every 2 hours.
D. Maintain a well-lit room.
[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.

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