更多"The nurse is performing wound care."的相关试题:
[单项选择]Which of the following would the nurse expect to find in a client diagnosed with hyperparathyroidism（）
A. Hypocalcemia.
B. Hypercalcemia.
C. Hyperphosphatemia.
D. Hypophosphaturia.
[单项选择]The nurse should anticipate which psychological reactions during the second trimester of pregnancy（）
A. Self-centeredness and concentration on the behavior and appearance of children.
B. Extroversion and emotional lability.
C. Ambivalence and uncertainty.
D. Dismay over body image and readiness for the end of pregnancy.
[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 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.
[单项选择]The nurse should encourage a client with a wound to consume foods high in vitamin C because this vitamin（）
A. restores the inflammatory response.
B. enhances oxygen transport to tissues.
C. reduces edema.
D. enhances protein synthesis.
[单项选择]The nurse notices that a client’s abdominal wound has eviscerated. Which of the following would the nurse do first（）
A. Notify the client’s physician immediately.
B. Reinsert the protruding viscera into the abdominal cavity.
C. Place the client in reverse Trendelenburg’s position.
D. Cover the wound with sterile saline-moistened dressings.
[单项选择]Which nursing diagnosis would the nurse anticipate as having the highest priority for the client with gestational diabetes in labor（）
A. Risk for infection related to invasive procedures during labor.
B. Risk for injury to fetus related to the effects of diabetes on uteroplacental functioning.
C. Deficient knowledge related to lack of information about care during labor.
D. Interrupted family processes related to diabetes increasing the client’s risk of complications.
[单项选择]Which assessment would the nurse perform to validate that the membranes are ruptured
A. Observe for a pink, mucus vaginal discharge.
B. Test the leaking fluid with nitrazine paper.
C. Assess the client’s temperature, pulse, and blood pressure.
D. Send a urine specimen from the client to be cultured.
[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]Which laboratory test results would the nurse expect to find in a client diagnosed with Hashimoto’s thyroiditis（）
A. Thyroxine (T4), 22μg/dL; triiodothyronine (T3), 320ng/dL; thyroid-stimulating hormone (TSH) undetectable.
B. T4, 22μg/dL; T3, 200ng/dL; TSH,0.1μIU/mL.
C. T4, 2μg/dL; T3, 200ng/dL; TSH,5.9μIU/mL.
D. T4, 2μg/dL; T3, 35ng/dL; TSH,45μIU/mL.
[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]Which of the following activities should the nurse discourage the client with a peptic ulcer（）
A. Chewing gum.
B. Smoking cigarettes.
C. Eating chocolate.
D. Taking acetaminophen (Tylenol).
[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]Which of the following nurse responses would be endorsed by the American Nurses Association（ ）
A. A nurse promises a dying patient that he will do everything possible to keep her comfortable but that he cannot administer an injection or overdose to cause her death.
B. A nurse tells a dying patient who is on a ventilator that under no condition can he be removed from the ventilator because this is active euthanasia and it is expressly forbidden by the Code for Nurses.
C. After exhausting every intervention in her bag of tricks to keep a dying patient comfortable the nurse says, "I think you are now at a point where I’m prepared to do what you’ve been asking me. Let’s talk about when and how you want to die. "
D. In response to a patient who asks for assistance in committing suicide a nurse replies, "I’m personally opposed to assisted suicide but I’ll find you a colleague who can help you. /
[单项选择]Which behavior would cause the nurse to suspect that a client’s labor is moving quickly and that the physician should be notified（）
A. An increased sense of rectal pressure.
B. A decrease in intensity of contractions.
C. An increase in fetal heart rate variability.
D. Episodes of nausea and vomiting.
[单项选择]Which of the following should the nurse include in a postoperative teaching plan for a client with a laryngectomy
A. Telling the client to speak by covering the stoma with a sterile gauze pad.
B. Reassuring the client that normal eating will be possible after healing has occurred.
C. Instructing the client to avoid coughing until the sutures are removed.
D. Instructing the client to control oral secretions by swabbing them with tissues or by expectorating into an emesis basin.
[单项选择]For which type of schizophrenia should the nurse expect to provide the most physical care（）
A. Disorganized type.
B. Catatonic type.
C. Paranoid type.
D. Undifferentiated type.
[单项选择]Which of the following would the nurse interpret as indicating that a child is receiving too much intravenous fluid too rapidly（）
A. Marked increase in abdominal girth.
B. Evidence of protein in the urine.
C. Dark amber colored urine.
D. Moist crackles in the lung fields.
