更多"When caring for an adolescent clien"的相关试题:
[单项选择]When caring for a client with the nursing diagnosis Impaired swallowing related to neuromuscular impairment, the nurse should （）.
A. position the client in a supine position.
B. elevate the head of the bed 90 degrees during meals.
C. encourage the client to remove dentures.
D. encourage thin liquids for dietary intake.
[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]When caring for a client with preeclampsia, which action is a priority
[单项选择]When caring for a client with ulcerative colitis, the nurse should include which of the following nursing interventions in the plan of care
A. Encouraging the use of stool softeners.
B. Suggesting sitz baths as needed.
C. Arrange for the client to have a private bathroom.
D. Wearing a gown to provide direct care.
[单项选择]When caring for a client who is having her second baby, the nurse can anticipate the client's labor will be which of the following
[单项选择]When caring for a client during the second stage of labor, which action would be least appropriate
[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]When caring for a client with a 3-cm stage 1 pressure ulcer on the coccyx, which of the following actions can the nurse institute independently
A. Using a povidone-iodine wash on the ulceration three times per day.
B. Using a normal saline solution and applying a protective dressing as necessary.
C. Applying an antibiotic cream to the area three times per day.
D. Massaging the area with an astringent every 2 hours.
[单项选择]To prevent gastroesophageal reflux in a client with hiatal hernia, the nurse should provide which discharge instructions
A. Lie down after meals to promote digestion.
B. Avoid coffee and alcoholic beverages.
C. Take antacids before meals.
D. Limit fluids with meals.
[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 with cholelithiasis. Which sign indicates obstructive jaundice ？（）
A. Straw-colored urine.
B. Reduced hematocrit.
C. Clay-colored stools.
D. Elevated urobilinogen in the urine.
[单项选择]The nurse is caring for a client with otosclerosis scheduled to undergo a stapedectomy. The client asks the nurse when her hearing will improve. Which response by the nurse is most appropriate ？（）
A. Your hearing may not improve but you'll no longer be bothered by tinnitus.
B. Your hearing may be dramatically improved right after surgery.
C. You may notice improved hearing within 1 to 2 weeks.
D. Your hearing may improve 3 to 6 weeks after surgery.
[单项选择]The nurse is caring for a client with a fractured left femur. What signs indicate potential fat emboli ？（）
A. Increased partial pressure of arterial oxygen (PaO2), reduced sensation in left leg or foot.
B. Left leg pain, dyspnea.
C. Bradycardia, skin bruises.
D. Cyanosis, decreased PaO2.
[单项选择]The nurse is caring for a client who recently underwent a tracheostomy. The first priority when caring for a client with a tracheostomy is （）.
A. helping him communicate.
B. keeping his airway patent.
C. encouraging him to perform activities of daily living.
D. preventing him from developing an infection.
[单项选择]The nurse is caring for a client undergoing IV antibiotic therapy with gentamicin sulfate. Which of the following interventions is most important ？（）
A. Infuse the medication quickly to minimize its irritating effect on the walls of blood vessels.
B. Obtain renal function tests, such as blood urea nitrogen (BUN) and creatinine levels, throughout the course of therapy.
C. Assess for pulmonary and peripheral edema.
D. Obtain an order for an antiemetic to counteract the common adverse effect of nausea.
[单项选择]The nurse is caring for a client with diabetes mellitus. When teaching the client about foot care, which instruction should the nurse provide ？（）
A. Examine feet once per week for redness, blisters, and abrasions.
B. Apply lotion to dry feet, especially between the toes.
C. Avoid hot-water bottles and heating pads.
D. Dry feet vigorously after each bath.
[单项选择]A family member is caring for a client diagnosed with Alzheimer's disease. Which of the following is most likely to cause the caregiver depression and role strain ？（）
A. The caregiver had a close relationship with the client before diagnosis of the illness.
B. The caregiver has no formal support, such as a visiting nurse or day care worker.
C. The caregiver understands the full reality of the disease and its inevitable progression.
D. The caregiver feels unable to control the client and unable to cope with caregiving.
[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.
