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发布时间:2024-01-20 19:35:55

[单项选择]A client with acute respiratory failure is intubated and placed on mechanical ventilation. Which intervention is most appropriate when suctioning the client ?()
A. Insert the suction catheter while applying suction.
B. Apply suction until all the secretions have been removed.
C. Use the same catheter to first suction the mouth, then the endotraeheal tube.
D. Preoxygenate with 100% oxygen before suctioning.

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[单项选择]A client in acute renal failure is admitted to the nephrology unit. The period of oliguria in these clients usually lasts about t0 days. Which of the following assessments of kidney function would the nurse make during the oliguric phase
A. No urine output; kidneys in a state of suppression.
B. Urine output of 30 to 60 mL/hr.
C. Urine output of less than 400 to 600 mL in 24 hours.
D. Urine output directly related to the amount of IV fluids infused.
[单项选择]The nurse is caring for a client with acute osteomyelitis in the right tibia. Which of the following measures is most appropriate when repositioning the client's leg
A. Hold the leg by the ankle when repositioning to avoid touching the tibia.
B. Support the leg above and below the affected area when positioning.
C. Have the client move the leg by himself to decrease pain.
D. Apply warm moist compresses to the leg before repositioning.
[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 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 most significant sign of acute renal failure is
A. elevated body temperature.
B. increased blood pressure.
C. decreased urine output.
D. increased urine specific gravity.
[单项选择]A client takes prednisone for an acute exacerbation of her rheumatoid arthritis. The nurse teaches the client about how to take this drug. Which of the following statements by the client indicates that the education is effective
A. "I can stop taking the prednisone as soon as my joints feel better. "
B. "It is important for me to increase my sodium intake while I am taking this medication. "
C. "I should not be concerned if I lose a little weight while I take the prednisone. "
D. "It is best if I take this medication with some food. "
[单项选择]A client with heart failure develops pink frothy sputum, coarse crackles, and restlessness. Which of the following actions should the nurse take first ?()
A. Check the client's blood pressure.
B. Place the client in high Fowler's position.
C. Calculate the client's fluid balance.
D. Notify the physician.
[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]A client with hepatitis C develops liver failure and GI hemorrhage. The blood products that would most likely bring about hemostasis in the client are ().
A. whole blood and albumin.
B. platelets and packed red blood cells.
C. fresh frozen plasma and whole blood.
D. cryoprecipitate and fresh frozen plasma.
[单项选择]A client is to be discharged from an acute care facility after treatment of right leg thrombophlebitis. The nurse notes that the client's leg is pain free, without redness or edema. The nurse's actions reflect which step in the nursing process
A. Assessment.
B. Analysis.
C. Implementation.
D. Evaluation.
[单项选择]A client with left-sided heart failure complains of increasing shortness of breath and is agitated and coughing up pink-tinged, foamy sputum. The nurse should recognize these as signs and symptoms of
A. right-sided heart failure.
B. acute pulmonary edema.
C. pneumonia.
D. cardiogenic shock.
[单项选择]A client with heart failure asks the nurse about the reason for taking enalapril maleate. The nurse would explain that the medication is prescribed for which of the following reason
A. Lower the blood pressure by increasing peripheral vasoconstriction.
B. Lower the heart rate by slowing the conduetion system.
C. Block the conversion of angiotensin Ⅰ to angiotensin Ⅱ.
D. Increase myocardial contractility, thereby improving cardiac output.
[单项选择]A client with heart failure loses 3.2 kg while hospitalized. Approximately how many pounds has the client lost
A. 1 pound.
B. 3 pounds.
C. 5 pounds.
D. 7 pounds.
[单项选择]In the respiratory process, the following action takes place:_______.


A. Diffusion of blood through capillary walls into air sacs
B. Exchange of alveoli and oxygen within air sacs
C. Diffusion of oxygen through the air sac and capillary walls into the blood
D. None of the above
[单项选择]The nurse is caring for a toddler in respiratory arrest. The nurse will assist with endotracheal intubation and use an uncurled tube because the
A. vocal cords provide a natural seal.
B. trachea is shorter.
C. larynx is anterior and cephalad.
D. cricoid cartilage is the narrowest part of the larynx.

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