更多"During the assessment of a geriatri"的相关试题:
[单项选择]Assessment of a client in active labor reveals meconium-stained amniotic fluid and fetal heart sounds in the upper right quadrant. Which of the following is the most likely cause of this situation
A. Breech position.
B. Late decelerations.
C. Entrance into the second stage of labor.
D. Multiple gestation.
[单项选择]During the assessment stage, a client with schizophrenia leaves his arm in the air after the nurse has taken his blood pressure. His action shows evidence of
A. somatic delusions.
B. waxy flexibility.
C. neologisms.
D. nihilistic delusions.
[单项选择]In performing a routine fundal assessment, the nurse finds a client's fundus to be "boggy. " What action should the nurse take first
A. Call the physician.
B. Massage the fundus.
C. Assess lochia flow.
D. Start methylergonovine as ordered.
[单项选择]During a client's chemotherapy regimen for breast cancer, which is important for the nurse to include in her plan of care
A. Instruct the client to consume plenty of raw fruits and vegetables.
B. Take rectal temperatures for greater accuracy.
C. Tell the client to avoid crowds and infected individuals.
D. Ask friends and relatives not to visit during the course of chemotherapy.
[单项选择]For a client with bulimia, which assessment is least important in the care plan ?()
A. Observe the client after eating for 1 hour.
B. Note the client's intake.
C. Note changes in appetite.
D. Note changes in respiratory rate.
[单项选择]During a morning assessment, the nurse percusses tympany. The nurse understands that tympany is a loud, high-pitched, moderately long sound with a drumlike, musical quality that's most commonly heard over the
A. heart.
B. liver.
C. pancreas.
D. stomach.
[单项选择]When caring for a client during the second stage of labor, which action would be least appropriate
[单项选择]During a conversation with the client, the nurse observes the client shaking his leg and tapping his fingers on the table next to him. The nurse's best statement is.
[单项选择]During a panic attack, a client runs to the nurse and reports breathing difficulty, chest pains, and palpitations. The client also is pale and has a wide open mouth and raised eyebrows. What should the nurse do first
A. Assist with deep breathing into a paper bag.
B. Orient the client to person, place, and time.
C. Set limits for acting out delusional behaviors.
D. Administer an anxiolytic agent IM.
[单项选择]A pregnant client is taking folic acid. During prenatal teaching, which of the following foods would the nurse recommend as high in folic acid ?()
A. Egg yolks.
B. Fruit.
C. Bread.
D. Milk.
[单项选择]During the evening shift on the day of the client's surgery, the nurse notices that the nasogastric tube drains 500 mL of green-brown fluid. What should the nurse do
[单项选择]While evaluating the needs of a client during the second trimester, the nurse can anticipate which of the following ?()
A. Feelings of disbelief and ambivalence.
B. Feelings of clumsiness and "ugliness".
C. Increasing introspection but a general sense of well-being.
D. Anxiety about the labor and delivery experience.
[单项选择]During her first prenatal visit, a client expresses concern about gaining weight. Which of the following would be the nurse's best action
[单项选择]Ich will Italienisch lernen und dann Deutsch, nur ________ mich zu beschftigen.
A. für
B. wegen
C. über
D. um
[单项选择]The assessment center gives each applicant the opportunity to ______ whether they are suited to the work.
A. exemplify
B. demonstrate
C. expose
D. exhibit
[单项选择]According to the passage, an interview assessment form is used by the panel to ______.
[单项选择]Which assessment would the nurse perform to validate that the membranes are ruptured