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发布时间:2024-01-23 21:14:38

[单项选择]The nurse is teaching a client who receives nitrates for the relief of chest pain. Which of the following instructions should the nurse emphasize
A. Repeat the dose of sublingual nitroglycerin every 15 minutes for three doses.
B. Store the drug in a cool, well-lit place.
C. Lie down or sit in a chair for 5 to 10 minutes after taking the drug.
D. Restrict alcohol intake to two drinks per day.

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[单项选择]A registered nurse who usually works on a medical-surgical unit is told to report to the cardiac care unit (CCU) for the day because the CCU is short staffed and needs additional help to care for the clients. The nurse has never worked in the CCU. Which of the following responses is the most appropriate nursing action
A. Call the hospital lawyer.
B. Report to the CCU and identify tasks that she feels she can safely perform.
C. Speak to the nursing supervisor.
D. Refuse to go to the CCU.
[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 exhibits signs of somatization. Which of the following statements is most relevant
A. Clients with somatization are cognitively impaired.
B. Anxiety rarely coexists with somatization.
C. Somatization exists when medical evidence supports the symptoms.
D. Clients with somatization often have lengthy medical records.
[单项选择]The nurse is caring for a client who is experiencing sinus bradycardia with a pulse rate of 40 beats/minute. His blood pressure is 80/50 mmHg and he complains of dizziness. Which medication would be used to treat his bradycardia
A. Atropine.
B. Dobutamine (Dobutrex).
C. Bretylium (Bretylol).
D. Lidocaine (Xylocaine).
[填空题]This is the nurse who (take) ______ care of me when I was ill in hospital.
[单项选择]The nurse is interviewing a client who is currently under the influence of a controlled substance and shows signs of becoming agitated. Which measure should the nurse take first when caring for this client
A. Be aware of hospital security.
B. Communicate a scolding attitude to intimidate the client.
C. Use confrontation.
D. Express disgust with the client’s behavior.
[单项选择]The nurse is teaching a client who is 28 weeks pregnant and has gestational diabetes how to control her blood glucose levels. Diet therapy alone has been unsuccessful in controlling her blood glucose levels, so she has started insulin therapy. The nurse should consider the teaching effective when the client says
A. "I won’t use insulin if I’m sick. "
B. "I need to use insulin each day. "
C. "If I give myself an insulin injection, I don’t need to watch what I eat. "
D. "I’ll monitor my blood glucose levels twice a week. "
[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 an elderly client who exhibits signs of dementi
A. a. The most common cause of dementia in an elderly client is delirium.B. depression.C. excessive drug use.D. Alzheimer’s diseas
[单项选择]The nurse is giving instructions to a client who is going home with a cast on his leg. Which point is most critical
A. Using crutches properly.
B. Exercising joints above and below the cast, as ordered.
C. Avoiding walking on a leg cast without the physician’s permission.
D. Reporting signs of impaired circulation.
[单项选择]The nurse is caring for a client who has just had a modified radical mastectomy with immediate reconstruction. She’s in her 30s and has two young children. Although she’s worried about her future, she seems to be adjusting well to her diagnosis. What should the nurse do to support her coping ?()
A. Tell the client’s spouse or partner to be supportive while she recovers.
B. Encourage the client to proceed with the next phase of treatment.
C. Recommend that the client remain cheerful for the sake of her children.
D. Refer the client to the American Cancer Society’s Reach for Recovery program or another support program.
[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 expensiv
[单项选择]The nurse is assessing a client who gave birth yesterday. Where should the nurse expect to find the top of the client’s fundus
A. One fingerbreadth above the umbilicus.
B. One fingerbreadth below the umbilicus.
C. At the level of the umbilicus.
D. Below the symphysis pubis.
[单项选择]The nurse is caring for a client who complains of chronic pain. Given this complaint, why would the nurse simultaneously evaluate both general physical and psychosocial problems
A. Depression is commonly characterized by pain disorders and somatic complaints.
B. Combining evaluations will save time and allow for quicker delivery of health care.
C. Most insurance plans won’t cover evaluation of both as separate entities.
D. The physician doesn’t have the training to evaluate for psychosocial considerations.
[单项选择]The nurse is caring for a client who exhibits magical thinking. Which of the following best describes magical thinking
A. Strong positive and negative feelings that cause conflict.
B. Returning to an earlier developmental stage.
C. Meaningless repetition of words.
D. The belief that thoughts or wishes can control other people or events.
[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.

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