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发布时间:2023-12-23 18:01:49

[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.

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[单项选择]Which of the following functions would the nurse expect to be unrelated to the placenta
A. Production of estrogen and progesterone.
B. Detoxification of some drugs and chemicals.
C. Exchange site for food, gases, and waste.
D. Production of maternal antibodies.
[单项选择]Which nursing diagnosis would the nurse anticipate as having the highest priority for the client with gestational diabetes in labor
[单项选择]Which assessment would the nurse perform to validate that the membranes are ruptured
[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 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 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 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 action should the nurse include in a plan of care for a client with a fiberglass cast on the right arm
A. Keep the casted arm warm with a light blanket.
B. Avoid handling the cast for 24 hours or until dry.
C. Assess pedal and posterior tibial pulses every 2 hours.
D. Assess movement and sensation in the fingers of the right hand.
[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.
[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]Which of following would lead 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. An increase in fetal heart rate variability.
C. A decrease in intensity of contractions.
D. Episodes of nausea and vomiting.
[单项选择]Which assessment finding would lead the nurse to suspect dehydration in a preterm neonate
A. Bulging fontanels.
B. Excessive weight gain.
C. Urine specific gravity below 1.012.
D. Urine output below 1 mL/hour.
[单项选择]Which of the following measures would the nurse take into consider to help minimize joint pain in a child with rheumatic fever
A. Massaging the affected joints.
B. Applying ice to the affected joints.
C. Limiting movement of the affected joints.
D. Encouraging progressive weight bearing.
[单项选择]Which of the following symptoms would the nurse most likely observe in a client with cholecystitis from cholelithiasis
A. Black stools.
B. Decreased white blood cell count.
C. Nausea after ingestion of high-fat foods.
D. Elevated temperature of 103°F(39.4℃).
[单项选择]Which of the following describes how the nurse interprets a neonate's Apgar score of 8 at 5 minutes
A. A neonate who is in good condition.
B. A neonate who is mildly depressed.
C. A neonate who is moderately depressed.
D. A neonate who needs additional oxygen to improve the Apgar score.
[单项选择]Which of the following methods would the nurse use to feed an infant after surgical repair of cleft lip
[单项选择]Which of the following concepts would the nurse incorporate into the plan of care for a 4-year-old child to psychologically prepare the child for cardiac catheterization
A. Anxiety decreases when a preschooler is protected from learning about unpleasant events.
B. Preschoolers are unable to understand the procedure.
C. Little psychological preparation can be given to preschoolers.
D. Preparation is a joint responsibility of the physician, parents, and nurse.
[单项选择]Which of the following would the nurse expect to include in the plan of care for a client with diabetes who is in labor
A. Measuring urine output every 4 hours.
B. Monitoring blood glucose levels every hour.
C. Administering insulin subcutaneously every 4 hours.
D. Checking deep tendon reflexes every 2 hours.

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