更多"When caring for a client with the n"的相关试题:
[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]When caring for a client with preeclampsia, which action is a priority
[单项选择]When caring for an adolescent client diagnosed with depression, the nurse should remember that depression manifests differently in adolescents and adults. In an adolescent, signs and symptoms of depression are likely to include which of the following
[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]When caring for a client who is having her second baby, the nurse can anticipate the client's labor will be which of the following
[单项选择]When caring for a client with a 3-cm stage 1 pressure ulcer on the coccyx, which of the following actions can the nurse institute independently
A. Using a povidone-iodine wash on the ulceration three times per day.
B. Using a normal saline solution and applying a protective dressing as necessary.
C. Applying an antibiotic cream to the area three times per day.
D. Massaging the area with an astringent every 2 hours.
[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]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]Which nursing action takes priority when admitting a elient with right lower lobe pneumonia ？（）
A. Elevating the head of the bed 45 to 90 degrees.
B. Auscultating the chest for adventitious sounds.
C. Obtaining a sputum specimen for culture.
D. Notifying the physician of the client's admission.
[单项选择]A certified nursing assistant (CNA) is caring for a client with Clostridium difficile diarrhea and asks the charge nurse, "How can I keep from catching this from the client" The nurse reminds the CNA to wash her hands and to ensure the client is placed
A. on protective isolation.
B. on neutropenic precautions.
C. in a negative-pressure room.
D. on contact isolation.
[单项选择]The nurse is caring for a client with a fractured left femur. What signs indicate potential fat emboli ？（）
A. Increased partial pressure of arterial oxygen (PaO2), reduced sensation in left leg or foot.
B. Left leg pain, dyspnea.
C. Bradycardia, skin bruises.
D. Cyanosis, decreased PaO2.
[单项选择]The nurse is caring for a client with diabetes mellitus. When teaching the client about foot care, which instruction should the nurse provide ？（）
A. Examine feet once per week for redness, blisters, and abrasions.
B. Apply lotion to dry feet, especially between the toes.
C. Avoid hot-water bottles and heating pads.
D. Dry feet vigorously after each bath.
[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 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-).
[单项选择]In caring for a client with vasovagal syncope, the nurse should know that the associated temporary loss of consciousness is most commonly related to
A. vestibular dysfunction.
B. sudden vascular fluid shifting.
C. postural hypotension.
D. bradyrhythmia.
[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 who complains of lower back pain. Which instructions should the nurse give to this client to prevent back injury
[单项选择]The nurse is caring for a client who recently underwent a total hip replacement. The nurse should
