更多"The nurse is caring for a client wi"的相关试题:
[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 in an acute manic state. What's the most effective nursing action for this client
A. Assigning him to group activities.
B. Reducing his stimulation.
C. Assisting him with self-care.
D. Helping him express his feelings.
[单项选择]The nurse is caring for a client with an acute bleeding cerebral aneurysm. Which of the following activities is not appropriate in nursing care
A. Position the client to prevent airway obstruction.
B. Keep the client in one position to decrease bleeding.
C. Administer IV fluid as ordered and monitor the client for signs of fluid volume excess.
D. Maintain the client in a quiet environment.
[单项选择]The nurse is caring for a client with acute pulmonary edema. To immediately promote oxygenation and relieve dyspnea, which of the following interventions is appropriate
[单项选择]The nurse is caring for a client in acute renal failure. The nurse should expect hypertonic glucose, insulin infusions, and sodium bicarbonate to be used to treat
A. hypernatremia.
B. hypokalemia.
C. hyperkalemia.
D. hypercalcemia.
[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 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]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 infected with methicillin-resistant Staphylococcus aureus (MRSA). What's the major infection control measure to reduce MRSA and other nosocomial pathogens in a health care setting ？（）
A. Using antibacterial soap when bathing clients with MRSＡ.
B. Conducting culture surveys periodically.
C. Ensuring that personnel wash their hands before and after contact with every client.
D. Using specific housekeeping practices for environmental cleaning.
[单项选择]The nurse is caring for a client who complains of lower back pain. Which instructions should the nurse give to this client to prevent back injury
[单项选择]The nurse is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is to
A. avoid shopping for large amounts of food.
B. control eating impulses.
C. identify anxiety-causing situations.
D. eat only three meals per day.
[单项选择]The nurse is caring for a client who is experiencing auditory hallucinations. What would be most critical for the nurse to assess
A. Possible hearing impairment.
B. Family history of psychosis.
C. Content of the hallucinations.
D. Possible sella turcica tumors.
[单项选择]The nurse is caring for a client with mild active bleeding from placenta previa. Which of the following observations indicates that an emergency cesarean section may be necessary
A. Increased maternal blood pressure of 150/90 mmHg.
B. Decreased amount of vaginal bleeding.
C. Fetal heart rate of 80 beats per minute.
D. Maternal heart rate of 65 beats per minute.
[单项选择]The nurse is caring for a client with an exacerbation of ulcerative colitis. Which of the following nursing measures should be included in the plan of care
[单项选择]The nurse is caring for a client with a fractured hip. The client is combative and confused, and he's trying to get out of bed. The nurse should （）.
A. leave the client and get help.
B. obtain a physician's order to restrain the client.
C. read the facility's policy on restraints.
D. order soft restraints from the storeroom.
