更多"The nurse is developing a care plan"的相关试题:
[单项选择]The nurse is developing a care plan for a client in her 34th week of gestation who is experiencing premature labor. What nonpharmacologic intervention should the plan include to halt premature labor ？（）
A. Encouraging ambulation.
B. Serving a nutritious diet.
C. Promoting adequate hydration.
D. Performing nipple stimulation.
[单项选择]In developing a plan of care for a client with rheumatoid arthritis, the nurse should consider that clients with rheumatoid arthritis should be positioned so as to
A. prevent flexion deformities of the joints.
B. decrease edema around the joints.
C. promote maximum comfort.
D. prevent venous stasis.
[单项选择]When developing a plan of home care for the client with multiple sclerosis, the nurse should teach the client about which of the following complications most likely to occur
A. Ascites.
B. Contractures.
C. Fluid volume overload.
D. Myocardial infarction.
[单项选择]The nurse is making a plan of care for the child with juvenile rheumatoid arthritis to reduce joint pain in the morning just after arising. Which of the following interventions would be included in the plan
A. Awakening the child once nightly to exercise the joints.
B. Having the child sleep in a sleeping bag.
C. Having the child sleep with the joints flexed.
D. Increasing pain medication at bedtime.
[单项选择]The nurse should plan to include which of the following interventions in the plan of care for a child admitted to the hospital with a medical diagnosis of febrile seizure
A. Keep the child supine.
B. Place the child in respiratory isolation and restrict visitors.
C. Keep the room temperature low and bedclothes to a minimum.
D. Place a padded tongue blade at the bedside.
[单项选择]The nurse would plan to use an abduction pillow (or splint) after a total hip replacement. What is the purpose for this activity
A. To prevent hip flexion.
B. To prevent dislocation of the prosthesis.
C. To increase peripheral circulation.
D. To decrease formation of sacral pressure ulcers.
[单项选择]The nurse is developing a plan of care for a client with iron-deficiency anemia. Which of the following would be an appropriate nursing diagnosis of the client
A. Excess fluid volume related to anemia.
B. Imbalanced nutrition related to nausea.
C. Activity intolerance related to fatigue.
D. Impaired home maintenance related to neurological impairment.
[单项选择]The nursing care plan for a client after gynecologic surgery includes nursing orders intended to help reduce the risk of thrombophlebitis. Which is not appropriate among the following nursing interventions
[单项选择]When prioritizing a client's care plan based on Maslow's hierarchy of needs, the nurse's first priority would be （）.
A. allowing the family to see a newly admitted client.
B. ambulating the client in the hallway.
C. administering pain medication.
D. placing wrist restraints on the client.
[单项选择]The nurse provides care for a client with chronic obstructive pulmonary disease (COPD). Administering high doses of oxygen may produce what result ？（）
A. Increased respiratory drive.
B. Diminished respiratory drive.
C. A mismatch between ventilation and perfusion.
D. A profound decrease in partial pressure of arterial carbon dioxide (PaCO2).
[单项选择]The nurse is providing care for an immobilized client. For this client, the most appropriate and most effective nursing intervention would be （）.
A. getting the client out of bed and into a chair for 30 minutes, twice daily.
B. avoiding repositioning the client if he's comfortable.
C. repositioning the client on alternate sides at least every 2 hours.
D. positioning the client with the greatest pressure at the bony prominence.
[单项选择]The nurse is providing care for a postoperative client who has undergone a small bowel resection. The nurse may use an epidural catheter for which of the following ？（）
A. Antibiotic therapy.
B. Pain management.
C. Blood transfusion.
D. Anticoagulation.
[单项选择]The nurse is providing care for a pregnant client in her second trimester. Glucose tolerance test results show a blood glucose level of 160 mg/dL. The nurse should anticipate that the client will need to
A. start using insulin.
B. start taking an oral antidiabetic drug.
C. monitor her urine for glucose.
D. be taught about diet.
[单项选择]Which action should the nurse include in a plan of care for a client with a fiberglass cast on the right arm
A. Keep the casted arm warm with a light blanket.
B. Avoid handling the cast for 24 hours or until dry.
C. Assess pedal and posterior tibial pulses every 2 hours.
D. Assess movement and sensation in the fingers of the right hand.
[单项选择]The nurse is providing care for a client who underwent mitral valve replacement. The best example of a measurable client outcome goal is to （）.
A. change his own dressing.
B. walk in the hallway.
C. walk from his room to the end of the hall and back before discharge.
D. eat a special diet.
[单项选择]The nurse is planning care for a female client diagnosed with acute hepatitis A virus (HAV). What's the primary mode of transmission for HAV ？（）
A. Fecal contamination and oral ingestion.
B. Exposure to contaminated blood.
C. Sexual activity with an infected partner.
D. Sharing a contaminated needle or syringe.
[单项选择]The nurse is planning care for a client admitted to the psychiatric unit with a diagnosis of paranoid schizophrenia. Which nursing diagnosis should receive the highest priority ？（）
A. Risk for self- or other-directed violence.
B. Imbalanced nutrition.
C. Ineffective coping.
D. Impaired verbal communication.
[单项选择]The nurse is providing care to a client with catatonic type of schizophrenia who exhibits extreme negativism. To help the client meet his basic needs, the nurse should （）.
A. ask the client which activity he would prefer to do first.
B. negotiate a time when the client will perform activities.
C. tell the client specifically and concisely what needs to be done.
D. prepare the client ahead of time for the activity.
