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发布时间:2023-10-31 00:57:46

[单项选择]During a private conversation, a client with borderline personality disorder asks the nurse to "keep my secret" and then displays multiple self-inflicted, superficial lacerations on the forearms. What is the nurse’s best response()
A. "This type of behavior requires you to be on suicide precautions. "
B. "I’m going to tell your physician. Do you want to tell me why you did that"
C. "Tell me what type of instrument you used. I’m concerned about infection. "
D. "Whenever something important occurs in treatment, the team needs to know about it. I’ll have to tell the others, but let’s talk about it first. "

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[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]During a client’s chemotherapy regimen for breast cancer, which is important for the nurse to include in her plan of care()
A. Instruct the client to consume plenty of raw fruits and vegetables.
B. Take rectal temperatures for greater accuracy.
C. Tell the client to avoid crowds and infected individuals.
D. Ask friends and relatives not to visit during the course of chemotherapy.
[单项选择]While evaluating the needs of a client during the second trimester, the nurse can anticipate which of the following()
A. Feelings of disbelief and ambivalence.
B. Feelings of clumsiness and "ugliness".
C. Increasing introspection but a general sense of well-being.
D. Anxiety about the labor and delivery experience.
[单项选择]During the admission interview, a client reports that she frequently has nightmares and memories of a rape that occurred 3 years ago. She feels depressed and asks the nurse, "Do you think I will ever get better I don’t know what is wrong with me. " The nurse’s most supportive response would be()
A. "It sounds like you have some unresolved pain about the trauma. Take time here to talk and allow yourself to heal. "
B. "I’m not sure what is wrong, but the medication will help you soon enough. "
C. "It’s important to talk to your physician about an issue such as this. "
D. "Don’t feel bad; the treatment will help you. "
[单项选择]During the assessment stage, a client with schizophrenia leaves his arm in the air after the nurse has taken his blood pressure. Which of the following explains his action( )
A. Somatic delusions.
B. Waxy flexibility.
C. Neologisms.
D. Nihilistic delusions.
[单项选择]The nurse is caring for a client during the fourth stage of labor. Which of the following nursing interventions would be LEAST appropriate()
A. Catheterization to protect the bladder from trauma.
B. Perineal assessments for swelling and bleeding.
C. Vital signs and fundal checks every 15 minutes.
D. Time with the neonate to initiate breast-feeding.
[单项选择]When caring for a client during the second stage of labor, which action would be least appropriate()
A. Assisting the client with pushing.
B. Ensuring the client’s legs are positioned appropriately.
C. Allowing the client clear liquids.
D. Monitoring the fetal heart rate.
[单项选择]During the assessment of a geriatric client, a nurse would expect which findings()
A. Eye structure and visual acuity changes.
B. Facial hair decreasing in a female client.
C. Facial hair increasing in a male client.
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[单项选择]During her first prenatal visit, a client expresses concern about gaining weight. Which of the following would be the nurse’s best action()
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[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
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B. Orient the client to person, place, and time.
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[单项选择]During the first 24 hours after a client is diagnosed with addisonian crisis, which of the following should the nurse perform frequently()
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[单项选择]A client has a boggy uterus during stage IV of her delivery. Four hours postpartum, the nurse is preparing to administer methylergonovine maleate (Methergine) 0.2mg PO as prescribed every 6 hours. The client’s vital signs are; temperature, 100.4°F (38℃); pulse, 60 beats/minute; respirations, 14 breaths/minute; blood pressure, 140/90mmHg. Which is the most appropriate intervention
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[单项选择]During the evening shift on the day of the client’s surgery, the nurse notices that the nasogastric tube drains 500 mL of green-brown fluid. What should the nurse do( )
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C. Call the physician immediately.
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[单项选择]
Conversation 1

A. It’s often cold and snowy.
B. It’s often wet and warm.
C. It’s often cool and dry.
D. Not mentioned in the conversation.
[单项选择]
Conversation 2

A. Wife and husband.
B. Waitress and customer.
C. Shop assistant and customer.
D. Friends.

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