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发布时间:2023-10-26 02:45:29

[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.

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[单项选择]The nurse is teaching a client who has been prescribed allopurinol for the treatment of gout. Which instruction would the nurse give to the client ?()
A. Increase alcohol intake while taking the drug.
B. Avoid foods that are rich in purine.
C. Take aspirin for pain.
D. Take the drug between meals to promote absorption.
[单项选择]The nurse is caring for a client who has generalized anxiety disorder. Which statement is true about this client
A. The client has regular obsessions.
B. Relaxation techniques and psychotherapy are necessary for cure.
C. Nightmares and flashbacks are common in individuals who suffer from generalized anxiety disorder.
D. Generalized anxiety disorder is characterized by anxiety that lasts longer than 6 months.
[单项选择]The nurse is caring for a comatose client who has suffered a closed head injury. What intervention should the nurse implement to prevent increases in intracranial pressure (ICP) ?()
A. Suction the airway every hour and as needed.
B. Elevate the head of the bed 15 to 30 degrees.
C. Turn the client and change his position every 2 hours.
D. Maintain a well-lit room.
[单项选择]The nurse is caring for a client who has a tracheostomy tube and is undergoing mechanical ventilation. The nurse can help prevent tracheal dilation, a complication of tracheostomy tube placement, by
A. suctioning the tracheostomy tube frequently.
B. using a cuffed tracheostomy tube.
C. using the minimal air leak technique with cuff pressure less than 25 cmH2O.
D. keeping the tracheostomy tube plugged.
[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]A client who has stress incontinence has been given a pamphlet that describes Kegel exercises. Which of the following statements indicates that the client has understood the instructions in the pamphlet
A. "It will probably take a year before the exercises are effective. "
B. "I should perform these exercises every evening. "
C. "I can do these exercises sitting up, lying down, or standing. "
D. "I need to tighten my abdominal muscles to do these exercises correctly. "
[单项选择]The nurse has a client at 30 weeks' gestation who has tested positive for the human immunodeficiency virus (HIV). What should the nurse tell the client when she says that she wants to breast-feed her neonate ?()
A. Encourage breas-feeding so that she can get her rest and get healthier.
B. Encourage breast-feeding because it's healthier for the neonate.
C. Encourage breast-feeding to facilitate bonding.
D. Discourage breast-feeding because HIV can be transmitted through breast milk.
[单项选择]A client who has recently had surgery for prostate cancer expresses to the nurse feelings of anger toward God, his church, and the clergy. Which intervention isn't appropriate for this client
[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]A client who has received a new prescription for oral contraceptives asks the nurse how to take them. Which of the following would the nurse instruct the client to report to her primary caregiver
A. Breast tenderness.
B. Breakthrough bleeding within first 3 months of use.
C. Decreased menstrual flow.
D. Blurred vision and headache.
[单项选择]A client who has been admitted to the emergency room is restless and agitated, has dry mucous membranes, and is complaining of intense thirst. The nurse suspects which of the following electrolyte imbalances
A. Hypokalemia.
B. Hypercalcemia.
C. Hypomagnesemia.
D. Hypernatremia.
[单项选择]A client who has discovered a breast lump is tearful and expresses concern over her situation. The best way for the nurse to respond to her is by
A. encouraging a discussion of her problems and fears.
B. asking her if she would like to talk to the chaplain.
C. giving her reassurance.
D. recommending a support group.
[单项选择]A hospitalized client who has a living will is being fed through a nasogastric (NG) tube. During a bolus feeding, the client vomits and begins choking. Which of the following actions is most appropriate for the nurse to take
[单项选择]A client who has cervical cancer is scheduled to undergo internal radiation. In teaching the client about the procedure, the nurse would be most accurate in telling the client
[单项选择]A client who has been using crutches at home for t week reports that he is having trouble using the crutches because his armpits hurt and his fingers tingle. What would be the nurse's most appropriate response
[单项选择]A client who has sustained a head injury is to receive mannitol (Osmitrol) by IV push. In evaluating the effectiveness of the drug, the nurse should expect to find ().
A. increased lung expansion.
B. decreased cerebral edema.
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D. increased cerebral circulation.
[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]A client who has a potassium level of 6 mEq/L should be treated with
A. antacids.
B. IV fluids.
C. fluid restriction.
D. sodium polystyrene sulfonate (Kayexalate).
[单项选择]A client tells the nurse that she has been working hard for the last 3 months to control her type 2 (non-insulin-dependent) diabetes mellitus with diet and exercise. To determine the effectiveness of the client's efforts, the nurse should check
A. urine glucose level.
B. fasting blood glucose level.
C. serum fructosamine level.
D. glycosylated hemoglobin (Hb) level.

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