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发布时间:2023-10-23 08:46:43

[单项选择]A client in acute renal failure is admitted to the nephrology unit. The period of oliguria in these clients usually lasts about t0 days. Which of the following assessments of kidney function would the nurse make during the oliguric phase
A. No urine output; kidneys in a state of suppression.
B. Urine output of 30 to 60 mL/hr.
C. Urine output of less than 400 to 600 mL in 24 hours.
D. Urine output directly related to the amount of IV fluids infused.

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[单项选择]The nurse is caring for a client in acute renal failure. The nurse should expect hypertonic glucose, insulin infusions, and sodium bicarbonate to be used to treat
A. hypernatremia.
B. hypokalemia.
C. hyperkalemia.
D. hypercalcemia.
[单项选择]The most significant sign of acute renal failure is
A. elevated body temperature.
B. increased blood pressure.
C. decreased urine output.
D. increased urine specific gravity.
[单项选择]A respectable lawyer is admitted to an acute care facility with epigastric pain. Since admission, the client has called the nurse every 15 minutes with one request or another. Which of the following could explain this client's behavior
A. Repression.
B. Somatization.
C. Regression.
D. Conversion.
[单项选择]A client with acute respiratory failure is intubated and placed on mechanical ventilation. Which intervention is most appropriate when suctioning the client ?()
A. Insert the suction catheter while applying suction.
B. Apply suction until all the secretions have been removed.
C. Use the same catheter to first suction the mouth, then the endotraeheal tube.
D. Preoxygenate with 100% oxygen before suctioning.
[单项选择]The nurse is caring for a client with acute osteomyelitis in the right tibia. Which of the following measures is most appropriate when repositioning the client's leg
A. Hold the leg by the ankle when repositioning to avoid touching the tibia.
B. Support the leg above and below the affected area when positioning.
C. Have the client move the leg by himself to decrease pain.
D. Apply warm moist compresses to the leg before repositioning.
[单项选择]The nurse is caring for a client with acute pulmonary edema. To immediately promote oxygenation and relieve dyspnea, which of the following interventions is appropriate
[单项选择]The nurse is caring a client in an acute care mental health program. The client refuses his morning dose of an oral antipsychotic medication and believes he's being poisoned. What should the nurse do
A. Crushing the medication and putting it in his food.
B. Consulting with the physician about a plan of care.
C. Administering the medication by injection.
D. Omitting the dose and trying again the next day.
[单项选择]The nurse is caring for a client in an acute manic state. What's the most effective nursing action for this client
A. Assigning him to group activities.
B. Reducing his stimulation.
C. Assisting him with self-care.
D. Helping him express his feelings.
[单项选择]The nurse is caring for a client with an acute bleeding cerebral aneurysm. Which of the following activities is not appropriate in nursing care
A. Position the client to prevent airway obstruction.
B. Keep the client in one position to decrease bleeding.
C. Administer IV fluid as ordered and monitor the client for signs of fluid volume excess.
D. Maintain the client in a quiet environment.
[单项选择]A psychiatric client who was voluntarily admitted now wishes to be discharged from the hospital, against medical advice. What's the most important assessment the nurse should make of the client ?()
A. Ability to care for himself.
B. Degree of danger to self and others.
C. Level of psychosis.
D. Intended compliance with aftercare.
[单项选择]A client takes prednisone for an acute exacerbation of her rheumatoid arthritis. The nurse teaches the client about how to take this drug. Which of the following statements by the client indicates that the education is effective
A. "I can stop taking the prednisone as soon as my joints feel better. "
B. "It is important for me to increase my sodium intake while I am taking this medication. "
C. "I should not be concerned if I lose a little weight while I take the prednisone. "
D. "It is best if I take this medication with some food. "
[单项选择]A client admitted for a hysterectomy has a secondary diagnosis of Ménière s disease. Which of the following nursing interventions should the nurse include in the client's plan of care to decrease the effects of tinnitus
A. Reduce the amount of glucose and cholesterol in the diet.
B. Encourage the client to listen to the radio with earphones.
C. Encourage a weight-reduction diet.
D. Administer antihypertensive medications as ordered.
[单项选择]The nurse is interviewing a client admitted to the facility with a diagnosis of schizophrenia. The client states, "I run apple, train, grass, window. " This response by the client is known as
A. echopraxia.
B. a word salad.
C. flight of ideas.
D. neologisms.
[单项选择]A client is admitted for detoxification after a cocaine overdose. The client tells the nurse that he frequently uses cocaine but that he can control his use if he chooses. Which coping mechanism is he using ?()
A. Withdrawal.
B. Logical thinking.
C. Repression.
D. Denial.
[单项选择]A client is admitted for a suspected eating disorder. Which of the following statements would indicate that the client may be suffering from anorexia nervosa ?()
A. "I've gained 3 pounds in the last month. "
B. "I eat loads of spinach and yellow vegetables each day. "
C. "I'm a perfectionist, and I work hard to get A's. "
D. "I binge frequently in the morning and feel fat. "
[单项选择]A client is admitted to the psychiatric unit with a diagnosis of anorexia nervosa. Although she is 5'7" and weighs only 100 lb, she keeps on telling the nurse about how fat she is. What should the nurse do first
[单项选择]A client is admitted with a suspected diagnosis of an acute myocardial infarction. When providing care for the client, the nurse should avoid which route when taking a temperature
A. Oral.
B. Rectal.
C. Axillary.
D. Tympanic.
[单项选择]A client is admitted to the emergency department with complaints of chest pain and shortness of breath. The nurse's assessment reveals jugular vein distention. The nurse knows that when a client has jugular vein distention, it's typically due to
A. a neck tumor.
B. an electrolyte imbalance.
C. dehydration.
D. fluid overload.
[单项选择]A client is admitted to the hospital for treatment of Prinzmetal's angina. When developing the client's plan of care, the nurse should remember that this type of angina is triggered by
A. coronary artery spasm.
B. an unpredictable amount of activity.
C. activities that increase oxygen demand.
D. an unknown source.

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