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发布时间:2024-01-24 21:35:14

[单项选择]A client who survived an airplane crash has a diagnosis of posttraumatic stress disorder (PTSD). He has a history of nightmares, depression, hopelessness, and alcohol abuse. Which option offers the client the most lasting relief for his symptoms
A. The opportunity to verbalize memories of trauma to a sympathetic listener.
B. Family support.
C. Prescribed medications taken as ordered.
D. Alcoholics Anonymous (AA) meetings.

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[单项选择]A client who survived an airplane crash has a diagnosis of posttraumatic stress disorder (PTSD). He has a history of nightmares, depression, hopelessness, and alcohol abuse. Which option offers the client the most lasting relief for his symptoms
A. The opportunity to verbalize memories of trauma to a sympathetic listener.
B. Family support.
C. Prescribed medications taken as ordered.
D. Alcoholics Anonymous (AA) meetings.
[单项选择]A client who has stress incontinence has been given a pamphlet that describes Kegel exercises. Which of the following statements indicates that the client has understood the instructions in the pamphlet
A. "It will probably take a year before the exercises are effective. "
B. "I should perform these exercises every evening. "
C. "I can do these exercises sitting up, lying down, or standing. "
D. "I need to tighten my abdominal muscles to do these exercises correctly. "
[单项选择]A client who has recently had surgery for prostate cancer expresses to the nurse feelings of anger toward God, his church, and the clergy. Which intervention isn't appropriate for this client
[单项选择]When caring for a client who has recently delivered, the nurse assesses the client for urinary retention with overflow. Which of the following provides the most accurate picture of retention with overflow
A. Frequent trips to the bathroom with an average output of 200 to 300 mL per void.
B. Intense urge to urinate with an average output of 250 mL.
C. A varying urge to urinate with an average output of 100 mL.
D. Uterus displaced to the right with increased vaginal bleeding.
[单项选择]The nurse is caring for a client who has hemoconcentration after fluid loss. Which IV fluids would be the most appropriate fluid replacement therapy for this client ?()
A. Distilled water.
B. Dextrose 5% in water (D5W) only.
C. DSW with 40 mEq of potassium chloride.
D. Dextrose 10% in saline.
[单项选择]The nurse is caring for a client who has generalized anxiety disorder. Which statement is true about this client
A. The client has regular obsessions.
B. Relaxation techniques and psychotherapy are necessary for cure.
C. Nightmares and flashbacks are common in individuals who suffer from generalized anxiety disorder.
D. Generalized anxiety disorder is characterized by anxiety that lasts longer than 6 months.
[单项选择]A client who has discovered a breast lump is tearful and expresses concern over her situation. The best way for the nurse to respond to her is by
A. encouraging a discussion of her problems and fears.
B. asking her if she would like to talk to the chaplain.
C. giving her reassurance.
D. recommending a support group.
[单项选择]A hospitalized client who has a living will is being fed through a nasogastric (NG) tube. During a bolus feeding, the client vomits and begins choking. Which of the following actions is most appropriate for the nurse to take
[单项选择]A client who has received a new prescription for oral contraceptives asks the nurse how to take them. Which of the following would the nurse instruct the client to report to her primary caregiver
A. Breast tenderness.
B. Breakthrough bleeding within first 3 months of use.
C. Decreased menstrual flow.
D. Blurred vision and headache.
[单项选择]A client who has cervical cancer is scheduled to undergo internal radiation. In teaching the client about the procedure, the nurse would be most accurate in telling the client
[单项选择]A client who has been admitted to the emergency room is restless and agitated, has dry mucous membranes, and is complaining of intense thirst. The nurse suspects which of the following electrolyte imbalances
A. Hypokalemia.
B. Hypercalcemia.
C. Hypomagnesemia.
D. Hypernatremia.
[单项选择]When caring for a client who has had a cesarean birth, which of the following nursing interventions is least appropriate
A. Removing the initial dressing for incision inspection.
B. Monitoring pain status and providing necessary relief.
C. Supporting self-esteem concerns about delivery.
D. Assisting with parental neonate bonding.
[单项选择]The nurse is caring for a client who has a tracheostomy tube and is undergoing mechanical ventilation. The nurse can help prevent tracheal dilation, a complication of tracheostomy tube placement, by
A. suctioning the tracheostomy tube frequently.
B. using a cuffed tracheostomy tube.
C. using the minimal air leak technique with cuff pressure less than 25 cmH2O.
D. keeping the tracheostomy tube plugged.
[单项选择]A client who has been using crutches at home for t week reports that he is having trouble using the crutches because his armpits hurt and his fingers tingle. What would be the nurse's most appropriate response
[单项选择]The nurse is caring for a client who has a history of alcohol abuse. Why would the client act as if he didn't have a problem
A. The client has never taken the CAGE questionnaire.
B. Denial is a defense mechanism commonly used by alcoholics.
C. Thought processes are distorted.
D. Alcohol is expensive.
[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 who is breast-feeding has a temperature of 102°F (38.9℃) and complains that her breasts are engorged. Her breasts are swollen, hard, and red. Which of the following actions would be inappropriate in managing the client's breast engorgement
A. Applying frozen cabbage leaves to the breasts.
B. Encouraging the client to shower with her back to the water.
C. Encouraging the client to nurse her baby frequently.
D. Applying a breast binder to support the breasts.
[单项选择]A client with rheumatoid arthritis has been taking large doses of aspirin to relieve her joint pain. The nurse should assess the client for which important symptom of aspirin toxicity
A. Chest pain.
B. Drowsiness.
C. Dysuria.
D. Tinnitus.
[单项选择]A client with multiple sclerosis has been prescribed baclofen. The nurse teaches the client about the action of the drug. Which of the following is an accurate instruction regarding this drug's action
A. "Baclofen will decrease your fatigue and help increase your energy levels. "
B. "Baclofen will help relieve the muscle spasms that you have been experiencing. "
C. "It is an antibiotic that will help treat your urinary tract infection. "
D. "Taking this drug will help decrease the visual problems you have been having. "

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