更多"The nurse is preparing to care for "的相关试题:
[单项选择]The nurse is preparing the client with a cerebrovascular accident for discharge to home. The nurse should recognize which of the following factors would most likely influence the client’s continuing progress in rehabilitation at home
A. The family’s ability to provide support to the client.
B. The client’s ability to ambulate.
C. The availability of a home health aide to care for the client.
D. The frequency of follow-up visits with the physician.
[单项选择]The nurse is preparing the client with heart failure to go home. Which of the following should be most important to include in the discharge education
A. Monitor urine output daily.
B. Monitor daily potassium intake.
C. Maintain bed rest for at least 1 week.
D. Weigh daily.
[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]During the first 24 hours after a client is diagnosed with addisonian crisis, which of the following should the nurse perform frequently
A. Weigh the client.
B. Test urine for ketones.
C. Assess vital signs.
D. Administer oral hydrocortison
[单项选择]The nurse is preparing an elderly client to get out of bed on the first postoperative day after a total hip replacement. Which of the following activities would be most helpful to the client
A. Demonstrate the use of a walker with partial weight bearing.
B. Explain to the client that she will be lifted out of bed to a chair.
C. Reassure the client that she will be assisted to walk to the hall.
D. Demonstrate the swing-through crutch-walking gait with limited weight hearin
[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 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.
[单项选择]The nurse is planning care for a client after a tracheostomy. One of the client’s goals is to overcome verbal communication impairment. Which of the following interventions should the nurse include in the care plan
A. Make an effort to read the client’s lips to foster communication.
B. Encourage the client’s communication attempts by allowing him time to select or write words.
C. Answer questions for the client to reduce his frustration.
D. Avoid using a tracheostomy plug because it blocks the airway.
[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 providing care for a pregnant client with gestational diabetes. The client asks the nurse if her gestational diabetes will affect her delivery. The nurse should know that
A. the delivery may need to be induced early.
B. the delivery must be by cesarean.
C. the mother will carry to term safely.
D. it’s too early to tell.
[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 is providing care for a client with multiple myeloma, a disorder characterized by episodes of remissions and exacerbations. Which of the following resources can best help the client adapt to the disease
A. The client’s family.
B. Support group.
C. Pastoral care.
D. Hospice car
[单项选择]The nurse is planning care for a client admitted to the psychiatric unit with a diagnosis of paranoid schizophreni
A. a. Which nursing diagnosis should receive the highest priority Risk for self- or other-directed violence.B. Imbalanced nutrition.C. Ineffective coping.D. Impaired verbal communication.
[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 syring
[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]The nurse is providing care to a 5-year-old client with a fractured femur whose nursing diagnosis is Imbalanced nutrition: less than body requirements related to impaired physical mobility. Which of the following is most likely to occur with this condition（）
A. Decreased protein catabolism.
B. Increased calorie intake.
C. Increased digestive enzymes.
D. Increased carbohydrate need.
[单项选择]A nurse is reviewing prenatal care with a client. Which of the following statements by the client best expresses adequate understanding of nutritional needs during pregnancy
A. "I expect to gain a few pounds each month at first. Then I’ll really get big and put on 20 pounds or so. "
B. "I guess I will get big and gain 20 to 30 pounds and look pregnant."
C. "Because I have to eat for two, I should eat whatever I want whenever I feel hungry. "
D. "I will need to eat more so that I will gain about 25 pounds, but I want to make sure I don’t fill up with junk food. "
[单项选择]The nurse is providing home care to a client with failing vision due to macular degeneration. The nurse is concerned about the client’s safety. Which of the following activities would help to lessen the client’s risk of falling
A. Arranging pieces of furniture close together so the client can use them for guidance and support.
B. Encouraging the client to wear a medical identification bracelet that describes the client’s visual deficit.
C. Installing a flashing light to indicate when the phone or doorbell is ringing.
D. Installing handrails in hallways, in bathrooms, and on steps.
[单项选择]The nurse is developing a care plan for a client who’s at risk for ineffective coping due to the effects of chronic illness. Which factor provides the best evidence that the client is at risk for difficulty in coping with his illness
A. Poor sleeping habits.
B. Lack of social support.
C. Adverse drug effects.
D. Presence of panic disorder.
