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发布时间:2024-02-28 19:49:48

[单项选择]The nurse is performing a painless, noninvasive procedure to measure arterial oxygen saturation (SaO2). What procedure is it()
A. Incentive spirometry.
B. Arterial blood gas (ABG) measurement.
C. Peak flow measurement.
D. Pulse oximetry.

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[单项选择]While performing rounds, a nurse finds that a client is receiving the wrong IV solution. The nurse’s initial response should be to()
A. remove the IV catheter and call the physician.
B. write up an incident report describing the mistake.
C. slow the IV flow rate and hang the appropriate solution.
D. wait until the next bottle is due and then change to the proper solution.
[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]The nurse administers a preoperative intramuscular medication at the ventrogluteal site. The nurse will inject the medication into which muscle( )
A. Rectus femoris.
B. Gluteus maximus.
C. Gluteus minimus.
D. Vastus lateralis.
[单项选择]What kind of group will be performing
[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]Which information is most important for the nurse to include in a teaching plan for a schizophrenic client taking clozapine (Clozaril)()
A. Monthly blood tests will be necessary.
B. Report a sore throat or fever to the physician immediately.
C. Blood pressure must be monitored for hypertension.
D. Stop the medication when symptoms subside.
[单项选择]A nurse needs assistance transferring an elderly, confused client to bed. The nurse leaves the client to find someone to assist her with the transfer. While the nurse is gone, the client falls and hurts herself. The nurse is at fault because she hasn’t()
A. properly educated this client about safety measures.
B. restrained the client.
C. documented that she left the client.
D. arranged for continual care of the client.
[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]Following a unilateral adrenalectomy, the nurse would assess for hyperkalemia shown by which of the following()
A. Muscle weakness.
B. Tremors.
C. Diaphoresis.
D. Constipation.
[单项选择]Which of the following techniques should the nurse use in working with individual depressed patients She should( )
A. Be aggressively cheerful
B. Indicate the patient’s good prognosis
C. Push the patient toward making decisions
D. Always give elaborate encouragement
[单项选择]The nurse is administering magnesium sulfate to a client with preeclampsia. The nurse explains to the client that this drug is given for which of the following reason()
A. To prevent seizures.
B. To reduce blood pressure.
C. To slow the process of labor.
D. To increase diuresis.
[单项选择]After performing a successful operation, the doctor at last pulled the patient______.
A. back
B. in
C. up
D. through
[单项选择]The nurse is preparing the client with heart failure to go home. Which of the following should be most important to include in the discharge education()
A. Monitor urine output daily.
B. Monitor daily potassium intake.
C. Maintain bed rest for at least 1 week.
D. Weigh daily.
[单项选择]The nurse is administering sublingual nitroglycerin (Nitrostat) to the client. Immediately afterward, the client may experience which of the following symptoms()
A. Nervousness or paresthesia.
B. Throbbing headache or dizziness.
C. Drowsiness or blurred vision.
D. Tinnitus or diplopia.
[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 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]The nurse is caring for a neonate with congenital clubfoot. After the final cast has been removed, which member of the health care team will most likely help the neonate with leg and ankle exercises and provide his parents with a home exercise regimen()
A. Occupational therapist.
B. Physical therapist.
C. Recreational therapist.
D. Speech therapist.
[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. /

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