[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]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]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 making a plan of care for the child with juvenile rheumatoid arthritis to reduce joint pain in the morning just after arising. Which of the following interventions would be included in the plan（　）
A. Awakening the child once nightly to exercise the joints.
B. Having the child sleep in a sleeping bag.
C. Having the child sleep with the joints flexed.
D. Increasing pain medication at bedtime.

[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 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.

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[单项选择]The nursing care plan for a client after gynecologic surgery includes nursing orders intended to help reduce the risk of thrombophlebitis. Which is not appropriate among the following nursing interventions（　）
A. Ambulate the client.
B. Massage the client’s legs.
C. Have the client wear elasticized stockings.
D. Have the client perform range-of-motion exercises in bed.

[单项选择]When prioritizing a client’s care plan based on Maslow’s hierarchy of needs, the nurse’s first priority would be
A. allowing the family to see a newly admitted client.
B. ambulating the client in the hallway.
C. administering pain medication.
D. placing wrist restraints on the client.

[单项选择]The nurse discusses discharge plan with the parents of a child following a sickle cell crisis. Which of the following would the nurse emphasize the need to seek prompt health care（）
A. Headaches and nausea.
B. Fatigue and lassitude.
C. Skin rash and itching.
D. Sore throat and fever.

[单项选择]The nurse provides care for a client with chronic obstructive pulmonary disease (COPD). Administering high doses of oxygen may produce what result（）
A. Increased respiratory drive.
B. Diminished respiratory drive.
C. A mismatch between ventilation and perfusion.
D. A profound decrease in partial pressure of arterial carbon dioxide (PaCO₂).

[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 with gestational diabetes. The client asks the nurse if her gestational diabetes will affect her delivery. The nurse should know that（）
A. the delivery may need to be induced early.
B. the delivery must be by cesarean.
C. the mother will carry to term safely.
D. it’s too early to tell.