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发布时间:2023-11-08 07:00:22

[单项选择]An elderly client's lithium level is 1.4 mEq/L. She complains of diarrhea, tremors, and nausea. The nurse's first action is to
A. hold the lithium (Lithobid) and notify the physician.
B. reassure the client that these are normal adverse effects.
C. administer another lithium dose.
D. discontinue the lithium.

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[单项选择]A client who has a potassium level of 6 mEq/L should be treated with
A. antacids.
B. IV fluids.
C. fluid restriction.
D. sodium polystyrene sulfonate (Kayexalate).
[单项选择]A client has a total serum cholesterol level of 326 mg/dL. The nurse explains to the client that this level
A. is normal and requires no further treatment.
B. is high and will require dietary modification.
C. is low and requires no further treatment.
D. is borderline normal and may require dietary modification.
[单项选择]A client's blood glucose level is 45 mg/dL. The nurse should be alert for which signs and symptoms ?()
A. Coma, anxiety, confusion, headache, and cool, moist skin.
B. Kussmaul's respirations, dry skin, hypotension, and bradycardia.
C. Polyuria, polydipsia, hypotension, and hypernatremia.
D. Polyuria, polydipsia, polyphagia, and weight loss.
[单项选择]A client has just expelled a hydatidiform mole. She's visibly upset over the loss and wants to know when she can try to become pregnant again. Which of the following would be the nurse's best response
[单项选择]肺心病患者,在人工通气时,做血气分析,pH 7.51,PaCO2 24mmHg,BE-8.0mEq/L,下一步应采用
A. 精氨酸
B. 减少呼吸机潮气量
C. 5%NaHCO3
D. 加大呼吸机潮气量
E. 立即停用呼吸机
[单项选择]The word "client" in "Washington's client states" in paragraph 3 was closest in meaning to which of the following word
A. server.
B. defender.
C. lawyer.
D. customer.
[单项选择]肺心病经综合治疗后,呼衰、心衰均好转,血气示:Ph7.52,P2CO255mmHg,BE+20mEq/L,K3.0mEq/L,Cl-68mEq/L,治疗应采用
A. THAM
B. 4% 碳酸氢钠
C. 醋氮磺胺
D. 氯化钾
E. 尼可刹米
[单项选择]一般腹泻患儿,失水量为体重的9%,四肢稍凉,血钠135mmol/L(135mEq/L),二氧化碳结合力14mmol/L(14mEq/L)。第一天补液哪项不正确
A. 总液量120~150ml/kg
B. 1/2张含钠液
C. 前6~8小时补总液量的一半
D. 第一小日寸静推5%碳酸氢钠20~30ml/kg
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[单项选择]一般腹泻患儿,失水量为体重的 9%,四肢稍凉,血钠135mmol/L (135mEq/L),二氧化,碳结合力 14mmol/l(14mEq/L)/,第一天补液哪项不正确
A. 总液量120~150ml/kg
B. 1/2张含钠液
C. 前6~8小时补总液量的一半
D. 第一小时静推5%碳酸氢钠20~ 30ml/kg
E. 排尿后补钾盐
[单项选择]A primigravida client with acquired immunodeficiency syndrome (AIDS) is in labor at term. In preparing her nursing care plan, the nurse should include which of the following nursing diagnoses ?()
A. Risk for fetal or maternal injury related to the crisis of childbearing.
B. Risk for infection related to suppressed immune status.
C. Risk for deficient fluid volume related to dehydration.
D. Risk for fetal injury related to uteroplacental insufficiency.
[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 with antisocial personality disorder refuses to take a shower for 3 days. Which response by the nurse is best ?()
A. "It's policy here for all clients to bathe daily. "
B. "It's time for your shower. I'll help you with it. "
C. "Don't worry about your shower until tomorrow. "
D. "Do you want people to make fun of you "
[单项选择]A client with paranoid type schizophrenia becomes angry and tells the nurse to leave him alone. The nurse should ().
A. tell him that she'll leave for now but will return soon.
B. ask him if it's okay if she sits quietly with him.
C. ask him why he wants to be left alone.
D. tell him that she won't let anything happen to him.
[单项选择]A client with cholecystitis is receiving propantheline bromide. The client is given this medication because it ().
A. reduces gastric solution production and hypermobility.
B. slows emptying of the stomach and reduces chyme in the duodenum.
C. inhibits contraction of the bile duct and gallbladder.
D. decreases bile secretions.
[单项选择]The client complains a continuous bladder irrigation after a transurethral resection. Which of the following is the major goal of nursing interventions related to the irrigation
A. Recognize signs of prostate cancer.
B. Perform activities of daily living.
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D. Reduce incisional bleeding.
[单项选择]A client diagnosed with schizoaffective disorder is suffering from schizophrenia with elements of which of the following disorders
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B. pulmonic valve is open.
C. aortic valve is closed.
D. mitral valve is closed.

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