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发布时间:2023-10-08 01:29:40

[单项选择]The nurse is caring for a client with adult respiratory distress syndrome (ARDS). What is the most likely laboratory finding in the early stages of this disease ?()
A. Increased carboxyhemoglobin.
B. Decreased partial pressure of arterial oxygen (PaO2).
C. Increased partial pressure of arterial carbon dioxide (PaCO2).
D. Decreased bicarbonate (HCO3-).

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[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 bedridden, elderly adult. To prevent pressure ulcers, which intervention should the nurse include in the care plan ?()
A. Turn and reposition the client a minimum of every 8 hours.
B. Vigorously massage lotion into bony prominences.
C. Post a turning schedule at the client's bedside.
D. Slide the client, rather than lift, when turning.
[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 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 whom she suspects is paranoid. How would the nurse confirm this assessment
A. Indirect questioning.
B. Direct questioning.
C. Lead-in sentences.
D. Open-ended sentences.
[单项选择]The nurse is caring for a client diagnosed with body dysmorphic disorder. When the client verbalizes disapproval of her physical features, the nurse should
A. encourage verbalizations about fears and stressful life situations.
B. agree with the client because she feels a specific physical feature is awful.
C. ignore the comment and talk about less threatening issues.
D. compliment the client on her appearance.
[单项选择]The nurse is caring for a client who complains of chronic pain. Given this complaint, why would the nurse simultaneously evaluate both general physical and psychosocial problems
[单项选择]The nurse is caring for a client admitted to the emergency department after a motor vehicle accident. Under the law, the nurse must obtain informed consent before treatment unless ().
A. the client is mentally ill.
B. the client refuses to give informed consent.
C. the client is in an emergency situation.
D. the client asks the nurse to give substituted consent.
[单项选择]The nurse is caring for a client after a closed renal biopsy. Which of the following nursing measures should be included in the plan of care
A. Maintaining the client on strict bed rest in a supine position for 6 hours.
B. Administering intravenous narcotic medications to promote comfort.
C. Inserting an indwelling catheter to monitor urine output.
D. Applying a sandbag to the biopsy site to prevent bleeding.
[单项选择]The nurse is caring for a client with a new donor site that was harvested to treat a new burn. The nurse should position the client to
A. allow ventilation of the site.
B. make the site dependent.
C. avoid pressure on the site.
D. keep the site fully covered.
[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 cirrhosis. Which manifestations indicate deficient vitamin K absorption caused by cirrhosis
A. Dyspnea and fatigue.
B. Ascites and orthopnea.
C. Purpura and petechiae.
D. Gynecomastia and testicular atrophy.
[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]The nurse is caring for an elderly client who exhibits signs of dementia. The most common cause of dementia in an elderly client is ().
A. delirium.
B. depression.
C. excessive drug use.
D. Alzheimer's disease.
[单项选择]The nurse is caring for a client with left-sided heart failure. To reduce fluid volume excess, the nurse can anticipate using
A. antiembolism stockings.
B. oxygen.
C. diuretics.
D. anticoagulants.
[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 bulimic client and an anorectic client. What cognitive characteristics would be similar for both of these clients
A. Perfectionism, preoccupation with food.
B. Relaxed personality, but preoccupied with food.
C. No similarities.
D. Preoccupation with exercise.

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