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[单项选择]The nurse is developing a plan of care for a client with anorexia nervosa. Which action should the nurse include in the plan()
A. Set up a strict eating plan for the client.
B. Encourage the client to exercise, which will reduce her anxiety.
C. Restrict visits with the family until the client begins to eat.
D. Provide privacy during meals.
[单项选择]The nurse is developing a care plan for a client who’s at risk for ineffective coping due to the effects of chronic illness. Which factor provides the best evidence that the client is at risk for difficulty in coping with his illness()
A. Poor sleeping habits.
B. Lack of social support.
C. Adverse drug effects.
D. Presence of panic disorder.
[单项选择]The nurse is developing a care plan for a client in her 34th week of gestation who is experiencing premature labor. What nonpharmacologic intervention should the plan include to halt premature labor
A. Encouraging ambulation.
B. Serving a nutritious diet.
C. Promoting adequate hydration.
D. Performing nipple stimulation.
[单项选择]When developing the postoperative plan of care for a child who is scheduled to have a tympanostomy tubes inserted into the right ear, which of the following interventions would the nurse identify to accomplish the goal of facilitating drainage( )
A. Applying warm compresses to the right ear.
B. Applying a gauze dressing to the left ear.
C. Applying an ice pack to the left ear.
D. Positioning the child to lie on the right side.
[单项选择]When developing a plan of care for a toddler with a seizure disorder, which of the following would be inappropriate
A. Padded side rails.
B. Oxygen mask and bag system at bedside.
C. Arm restraints while asleep.
D. Cardiopulmonary monitoring.
[单项选择]In developing a plan of care for a client with rheumatoid arthritis, the nurse should consider that clients with rheumatoid arthritis should be positioned so as to
A. prevent flexion deformities of the joints.
B. decrease edema around the joints.
C. promote maximum comfort.
D. prevent venous stasis.
[单项选择]The nurse is developing a teaching plan for a client diagnosed with osteoarthritis. To minimize injury to the osteoarthritic client, the nurse should instruct the client to()
A. install safety devices in his home.
B. wear comfortable shoes.
C. get help when lifting objects.
D. wear protective devices when exercising.
[单项选择]When developing a plan of home care for the client with multiple sclerosis, the nurse should teach the client about which of the following complications most likely to occur()
A. Ascites.
B. Contractures.
C. Fluid volume overload.
D. Myocardial infarction.
[单项选择]The nurse is developing a plan to teach a mother how to reduce her baby’s risk of developing otitis media. Which of the following directions should the nurse include in the teaching plan()
A. Administer antibiotics whenever the baby has a cold.
B. Place the baby in an upright position when giving a bottle.
C. Avoid getting the ears wet while bathing or swimming.
D. Clean the external ear canal daily.
[单项选择]The nurse should plan to include which of the following interventions in the plan of care for a child admitted to the hospital with a medical diagnosis of febrile seizure()
A. Keep the child supine.
B. Place the child in respiratory isolation and restrict visitors.
C. Keep the room temperature low and bedclothes to a minimum.
D. Place a padded tongue blade at the bedside.
[单项选择]The nurse is providing care for a postoperative client who has undergone a small bowel resection. The nurse may use an epidural catheter for which of the following()
A. Antibiotic therapy.
B. Pain management.
C. Blood transfusion.
D. Anticoagulation.
[单项选择]The nurse is providing care for a pregnant client in her second trimester. Glucose tolerance test results show a blood glucose level of 160 mg/dL. The nurse should anticipate that the client will need to()
A. start using insulin.
B. start taking an oral antidiabetic drug.
C. monitor her urine for glucose.
D. be taught about diet.
[单项选择]The nurse is providing care for an immobilized client. For this client, the most appropriate and most effective nursing intervention would be
A. getting the client out of bed and into a chair for 30 minutes, twice daily.
B. avoiding repositioning the client if he’s comfortable.
C. repositioning the client on alternate sides at least every 2 hours.
D. positioning the client with the greatest pressure at the bony prominence.