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发布时间:2024-02-04 22:39:14

[单项选择]An adolescent is admitted to the hospital for headaches. She approaches the nurse and confides that she is being sexually abused by a family friend. Which of the following would be the nurse's best initial response
A. "Can you tell me what happened"
B. "I believe you; you were right to tell me. "
C. "Have you told your mother and father about this"
D. "Who else have you told about this"

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[单项选择]The client was admitted with severe head injury resulting from a motor vehicle accident. The client is presently unconscious. To facilitate rehabilitation when the client's condition allows, the nurse should
A. maintain limbs in the position of function.
B. apply restraints to arms and legs to control spasms.
C. exercise just the arms as the legs maintain their tone longer.
D. notify physical therapy as soon as the physician orders passive range of motion.
[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.
[单项选择]A client is admitted to the hospital with a productive cough, night sweats, and a fever. Which action is most important in the initial plan of care
[单项选择]A client is admitted to the hospital in the manic phase of bipolar disorder. When placing a diet order for the client, which foods would be most appropriate
A. A bowl of soup, crackers, and a dish of peaches.
B. A cheese sandwich, carrot sticks, fresh grapes, and cookies.
C. Roast chicken, mashed potatoes, and peas.
D. A tuna sandwich, an apple, and a dish of ice cream.
[单项选择]A client is admitted to the hospital with an exacerbation of her chronic systemic lupus erythematosus (SLE). She gets angry when her call bell isn't answered immediately. The most appropriate response to her would be,
[单项选择]A 4-year-old girl is admitted to the hospital to rule out leukemia. Which of the following would be the best room assignment ?()
A. With a 4-year-old girl who has rheumatoid arthritis.
B. With a 5-year-old boy who is having a tonsillectomy.
C. With a 4-year-old girl who has leukemia.
D. Alone in a private room.
[单项选择]Although adolescent maturational and developmental states occur in an orderly sequence, their timing () with regard to onset and duration.
A. lasts
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[单项选择]An otherwise healthy adolescent has meningitis and is receiving IV and oral fluids. The nurse should monitor this client's fluid intake because fluid overload may cause
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[单项选择]The immobile adolescent with a recent fractured femur suddenly complains chest pain, dyspnea, diaphoresis, and tachycardia. Which of the following would the nurse suspect
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C. Pulmonary edema.
D. Pulmonary emboli.
[单项选择]When caring for an adolescent client diagnosed with depression, the nurse should remember that depression manifests differently in adolescents and adults. In an adolescent, signs and symptoms of depression are likely to include which of the following
[单项选择]An adolescent girl who is receiving chemotherapy for leukemia is admitted for pneumonia. The adolescent's platelet count is 50,000 μL. Which of the following would be inappropriate to include in the plan of care
[单项选择]The overweight adolescent client tells the nurse that he would like to lose weight and asks the nurse's opinion on how to accomplish his goal. Which of the following suggestions would be most appropriate
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[单项选择]When examining school-age and adolescent children, the nurse routinely screens for scoliosis. Which statement accurately summarizes how to perform this screening
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[单项选择]An adolescent client immobilized in a spica cast complains of having trouble breathing after meals. Which of the following actions would be best
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