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发布时间:2023-10-08 01:05:20

[单项选择]A client has just finished his glucose tolerance test. How many hours should it take for his blood glucose level to return to normal()
A. 2 hours.
B. 3 hours.
C. 5 hours.
D. 6 hours.

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[单项选择]The nurse is caring for a client who has just had a modified radical mastectomy with immediate reconstruction. She’s in her 30s and has two young children. Although she’s worried about her future, she seems to be adjusting well to her diagnosis. What should the nurse do to support her coping()
A. Tell the client’s spouse or partner to be supportive while she recovers.
B. Encourage the client to proceed with the next phase of treatment.
C. Recommend that the client remain cheerful for the sake of her children.
D. Refer the client to the American Cancer Society’s Reach for Recovery program or another support program.
[单项选择]A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client()
A. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) test annually.
B. The most common treatment is metronidazole (Flagyl), which should eradicate the problem within 7 to 10 days.
C. The potential for transmission to her sexual partner will be eliminated if condoms are used every time they have sexual intercourse.
D. The human papillomavirus (HPV), which causes condylomata aeuminata, can’t be transmitted during oral sex.
[单项选择]A client has just expelled a hydatidiform mole. She’s visibly upset over the loss and wants to know when she can try to become pregnant again. Which of the following would be the nurse’s best response( )
A. "I can see you’re upset. Why don’t we discuss this with you at a later time when you’re feeling better. "
B. "I can see that you’re upset; however, you must wait at least 1 year before becoming pregnant again. "
C. "Let me check with your physician and get you something that will help you relax. "
D. "Pregnancy should be avoided until all of your testing is normal. /
[单项选择]A client has been placed on levodopa to treat his Parkinson’s disease. Which of the following is a common side effect of levodopa that the nurse should include in the client’s teaching plan()
A. Pancytopenia.
B. Peptic ulcer.
C. Orthostatic hypotension.
D. Weight loss.
[单项选择]The manager lost his ().just because his secretary was ten minutes late.
A. mood
B. temper
C. mind
D. passion
[单项选择]A client reports losing his job, not being able to sleep at night, and feeling upset with his wife. The nurse responds to the client, "You may want to talk about your employment situation in group today. " The nurse is using which therapeutic technique()
A. Restating.
B. Making observations.
C. Exploring.
D. Focusing.
[单项选择]When caring for a client who has recently delivered, the nurse assesses the client for urinary retention with overflow. Which of the following provides the most accurate picture of retention with overflow()
A. Frequent trips to the bathroom with an average output of 200 to 300 mL per void.
B. Intense urge to urinate with an average output of 250 mL.
C. A varying urge to urinate with an average output of 100 mL.
D. Uterus displaced to the right with increased vaginal bleeding.
[单项选择]A client who has received a new prescription for oral contraceptives asks the nurse how to take them. Which of the following would the nurse instruct the client to report to her primary caregiver()
A. Breast tenderness.
B. Breakthrough bleeding within first 3 months of use.
C. Decreased menstrual flow.
D. Blurred vision and headache.
[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]A client who has been admitted to the emergency room is restless and agitated, has dry mucous membranes, and is complaining of intense thirst. The nurse suspects which of the following electrolyte imbalances()
A. Hypokalemia.
B. Hypercalcemia.
C. Hypomagnesemia.
D. Hypernatremia.
[单项选择]Nursing measures for the client who has had an MI include helping the client to avoid activity that results in Valsalva’s maneuver. Valsalva’s maneuver may cause cardiac dysrhythmias, increased venous pressure, increased intrathoracic pressure, and thrombi dislodgment. Which of the following actions would help prevent Valsalva’s maneuver( )
A. Have the client drink fluids through a straw.
B. Have the client avoid holding her breath during activity.
C. Have the client assume a side-lying position.
D. Have the client clench her teeth while moving in bed.
[单项选择]The nurse is teaching a client who has been prescribed allopurinol for the treatment of gout. Which instruction would the nurse give to the client()
A. Increase alcohol intake while taking the drug.
B. Avoid foods that are rich in purine.
C. Take aspirin for pain.
D. Take the drug between meals to promote absorption.
[单项选择]The nurse is caring for a client who has hemoconcentration after fluid loss. Which IV fluids would be the most appropriate fluid replacement therapy for this client()
A. Distilled water.
B. Dextrose 5% in water (D5W) only.
C. DSW with 40 mEq of potassium chloride.
D. Dextrose 10% in saline.
[单项选择]A client who has discovered a breast lump is tearful and expresses concern over her situation. The best way for the nurse to respond to her is by()
A. encouraging a discussion of her problems and fears.
B. asking her if she would like to talk to the chaplain.
C. giving her reassurance.
D. recommending a support group.
[单项选择]The nurse is caring for a client who has generalized anxiety disorder. Which statement is true about this client( )
A. The client has regular obsessions.
B. Relaxation techniques and psychotherapy are necessary for cure.
C. Nightmares and flashbacks are common in individuals who suffer from generalized anxiety disorder.
D. Generalized anxiety disorder is characterized by anxiety that lasts longer than 6 months.
[单项选择]A hospitalized client who has a living will is being fed through a nasogastric (NG) tube. During a bolus feeding, the client vomits and begins choking. Which of the following actions is most appropriate for the nurse to take()
A. Clear the client’s airway.
B. Make the client comfortable.
C. Start eardiopulmonary resuscitation.
D. Stop the feeding and remove the NG tube.
[单项选择]A client who has sustained a head injury is to receive mannitol (Osmitrol) by IV push. In evaluating the effectiveness of the drug, the nurse should expect to find
A. increased lung expansion.
B. decreased cerebral edema.
C. decreased cardiac workload.
D. increased cerebral circulation.
[单项选择]The nurse is caring for a client who has a tracheostomy tube and is undergoing mechanical ventilation. The nurse can help prevent tracheal dilation, a complication of tracheostomy tube placement, by()
A. suctioning the tracheostomy tube frequently.
B. using a cuffed tracheostomy tube.
C. using the minimal air leak technique with cuff pressure less than 25 cmH2O.
D. keeping the tracheostomy tube plugged.

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