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发布时间:2023-10-30 18:11:48

[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.

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[单项选择]The nurse is admitting a client with a suspected fluid imbalance. The most sensitive indicator of body fluid balance is()
A. daily weight.
B. serum sodium levels.
C. measured intake and output.
D. blood pressure.
[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]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]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 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]A 19-year-old pregnant client tells the nurse she’s concerned that she may not be able to take care of herself during her pregnancy. She states that prenatal care is expensive and her job doesn’t provide insurance. The nurse should recognize which of the following()
A. The client may not take care of herself.
B. The client may not be fit to take care of a child.
C. The client needs to take up a second job.
D. The client should be referred to community resources available for pregnant women.
[单项选择]A client with pneumonia is receiving supplemental oxygen, 2 L/minute via nasal cannuta. The client’s history includes chronic obstructive pulmonary disease (COPD) and coronary artery disease. Because of these findings, the nurse closely monitors the oxygen flow and the client’s respiratory status. Which complication may arise if the client receives a high oxygen concentration
A. Apnea.
B. Anginal pain.
C. Respiratory alkalosis.
D. Metabolic acidosis.
[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]A client hospitalized with pneumonia has thick, tenacious secretions. To help liquefy these secretions, the nurse should()
A. turn the client every 2 hours.
B. elevate the head of the bed 30 degrees.
C. encourage increased fluid intake.
D. maintain a cool room temperature.
[单项选择]A 69-year-old client asks the nurse what the difference is between osteoarthritis (OA) and rheumatoid arthritis (RA). Which response is correct
A. OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen joints.
B. OA and RA are very similar. OA affects the smaller joints, and RA affects the larger, weight-bearing joints.
C. OA affects joints on both sides of the body. RA is usually unilateral.
D. OA is more common in women. RA is more common in men.
[单项选择]During a panic attack, a client runs to the nurse and reports breathing difficulty, chest pains, and palpitations. The client also is pale and has a wide open mouth and raised eyebrows. What should the nurse do first
A. Assist with deep breathing into a paper bag.
B. Orient the client to person, place, and time.
C. Set limits for acting out delusional behaviors.
D. Administer an anxiolytic agent IM.
[单项选择]A client with stress incontinence asks the nurse what kind of diet she should follow at home. Which of the following diet regime would most likely be recommended by the nurse()
A. Avoid alcohol and caffeine.
B. Decrease fluid intake.
C. Increase intake of fruit juice.
D. Avoid milk products.
[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]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.
[单项选择]The nurse is teaching a client recently diagnosed with myasthenia gravis. The nurse should teach the client that myasthenia gravis is caused by()
A. genetic dysfunction.
B. upper and lower motor neuron lesions.
C. decreased conduction of impulses in an upper motor neuron lesion.
D. a lower motor neuron lesion.
[单项选择]The nurse has been teaching the client strategies to prevent a recurrence of hemorrhoids. One strategy is maintaining a high-fiber diet. Which of the following breakfast menus is appropriate for the client()
A. Danish pastry, prune juice, coffee, and milk.
B. Oatmeal, milk, grapefruit wedges, and bran muffin.
C. Corn flakes, milk, white toast, and orange juice.
D. Scrambled eggs, bacon, English muffin, and apple juice.

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