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发布时间:2023-12-07 04:13:51

[单项选择]A nurse in a prenatal clinic is assessing a 28-year-old woman who is 24 weeks pregnant. Which of the following findings would lead this nurse to suspect that the client has mild preeclampsia
A. Hypertension, edema, proteinuria.
B. Glycosuria, hypertension, seizures.
C. Hematuria, blurry vision, reduced urine output.
D. Burning on urination, hypotension, abdominal pain.

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[单项选择]The clinic nurse is instructing a group of parents about emergency treatment for accidental poisoning and injury. Which of the following statements by one of the mothers indicates that she needs further instruction
[单项选择]A nurse instructs a prenatal class about the importance of doing Kegel exercises frequently. Kegel exercises help to ().
A. promote better breathing by strengthening the diaphragm muscle.
B. maintain good perineal muscle tone by tightening the pubococcygeus muscle.
C. minimize leg cramps by strengthening the calf muscles.
D. prepare the mother for pushing by strengthening the abdominal muscles.
[单项选择]The nurse is assessing a postcraniotomy client and finds the urine output from a catheter is 1,500 mL for the 1st hour and the same for the 2nd hour. The nurse should suspect
[单项选择]A nurse is reviewing prenatal care with a client. Which of the following statements by the client best expresses adequate understanding of nutritional needs during pregnancy ?()
A. "I expect to gain a few pounds each month at first. Then I'll really get big and put on 20 pounds or so. "
B. "I guess I will get big and gain 20 to 30 pounds and look pregnant."
C. "Because I have to eat for two, I should eat whatever I want whenever I feel hungry. "
D. "I will need to eat more so that I will gain about 25 pounds, but I want to make sure I don't fill up with junk food. "
[单项选择]The nurse is assessing a client diagnosed with appendicitis. Which of the following signs or symptoms should the nurse expect to find ?()
A. Rigid abdomen, Levine's sign, pain relief leaning forward.
B. Rebound tenderness, McBurney's sign, low-grade fever.
C. Right lower quadrant pain, Chvostek's sign, muscle guarding.
D. Periumbilical pain, Trousseau's sign, pain relief with pressure.
[单项选择]The nurse is assessing a client with possible Cushing's syndrome. In a client with Cushing's syndrome, the nurse would expect to find ().
A. hypotension.
B. thick, coarse skin.
C. deposits of adipose tissue in the trunk and dorsocervical area.
D. weight gain in arms and legs.
[单项选择]The nurse is assessing a client with possible osteoarthritis. The most significant risk factor for osteoarthritis is ().
A. congenital deformity.
B. age.
C. trauma.
D. obesity.
[单项选择]The nurse is assessing an elderly client for dementia. Which of the following is a primary symptom of dementia
A. Neurosis.
B. Loss of impulse control.
C. Psychosis.
D. Memory loss.
[单项选择]The nurse is assessing a client suffering from stress and anxiety. A common physiological response to stress and anxiety is
A. sedation.
B. diarrhea.
C. vertigo.
D. urticaria.
[单项选择]The nurse is assessing a client with heart failure. The breath sounds commonly auscultated in clients with heart failure are
A. tracheal.
B. fine crackles.
C. coarse crackles.
D. friction rubs.
[单项选择]The nurse is assessing a neonate. Health history findings indicate that the mother drank 3 oz (88.7mL) or more of alcohol per day throughout her pregnancy. Which characteristic should the nurse expect to find ?()
A. Prominent nasal bridge.
B. Thick upper lip.
C. Upturned nose.
D. Large for gestational age.
[单项选择]The nurse is assessing a client who gave birth yesterday. Where should the nurse expect to find the top of the client's fundus ?()
A. One fingerbreadth above the umbilicus.
B. One fingerbreadth below the umbilicus.
C. At the level of the umbilicus.
D. Below the symphysis pubis.
[单项选择]The nurse is assessing a client with an ileal conduit. She notes that the client's urinary appliance contains pale yellow urine with large amounts of mucus. How would the nurse best interpret these data
A. These findings are normal for the client.
B. There is irritation of the stoma.
C. The client is developing an infection of the urinary tract.
D. The mucus is caused by elevated levels of glucose in the urine.
[单项选择]The nurse is assessing the puncture site of a client who has received a purified protein derivative test. Which finding indicates a need for further evaluation
A. 15-mm induration.
B. Reddened area.
C. 10-mm bruise.
D. Blister.
[单项选择]The nurse is assessing a pregnant woman in the clinic. In the course of the assessment, the nurse learns that this woman smokes one pack of cigarettes per day. Which of the following is the first step the nurse should take to help the woman stop smoking
[单项选择]When assessing a client with chest pain, the nurse obtains a thorough history. Which statement by the client is most suggestive of angina pectoris
A. "The pain lasted for about 45 minutes. "
B. "The pain resolved after I ate a sandwich. "
C. "The pain worsened when I took a deep breath. "
D. "The pain occurred while I was mowing the lawn. "
[单项选择]At an outpatient clinic, a client asks the nurse how she can prepare for pregnancy. Which of the following responses by the nurse would be best
A. "Begin an iron supplement of 100 mg daily. "
B. "Supplement your diet with 400 meg of folio acid. "
C. "Avoid raw eggs and cats until conception. "
D. "Receive immunization against toxoplasmosis. "
[单项选择]The nurse is assessing a 71-year-old female client with ulcerative colitis. Which assessment finding related to the family will have the greatest impact on the client's rehabilitation after discharge ?()
A. The family's ability to take care of the client's special diet needs.
B. The family's expectation that the client will resume responsibilities and role-related activities.
C. Emotional support from the family.
D. The family's ability to understand the ups and downs of the illness.

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