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发布时间:2024-02-01 19:52:23

[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.

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[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]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 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 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 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).
[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 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 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 prominenc
[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 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
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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 providing care for a pregnant 16-year-old client. The client says that she’s concerned she may gain too much weight and wants to start dieting. The nurse should respond by saying.
A. "Now isn’t a good time to begin dieting because you are eating for two. "
B. "Let’s explore your feelings further. "
C. " Nutrition is important because depriving your baby of nutrients can cause developmental and growth problems. "
D. "The prenatal vitamins should ensure the baby gets all the necessary nutrients. "
[单项选择]The nurse is planning care for a 10-year-old child in the acute phase of rheumatic fever. Which activity would be most appropriate for the nurse to schedule in the care plan
A. Playing ping-pong.
B. Reading books.
C. Climbing on play equipment in the playroom.
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[单项选择]The nurse is providing preoperative care to a client scheduled for an appendectomy. Which statement regarding pain control is most appropriate
A. "There’s no need to ask for pain medication, you’ll receive it on a schedule. "
B. "Take your pain medication after walking so that you won’t feel dizzy. "
C. "Take your pain medication before your pain becomes intense. "
D. "Use as little pain medication as possible to avoid addiction. "
[单项选择]The nurse is providing postprocedure care for a client who underwent percutaneous
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A. limit oral fluid intake for 1 to 2 weeks.
B. report the presence of fine, sandlike particles through the nephrostomy tube.
C. notify the physician about cloudy or foul-smelling urine.
D. report bright pink urine within 24 hours after the procedur
[单项选择]The nurse is assigned to care for a postoperative client who has diabetes mellitus. During the assessment interview, the client reports that he’s impotent and says that he’s concerned about its effect on his marriage. In planning this client’s care, the most appropriate intervention would be to
A. encourage the client to ask questions about personal sexuality.
B. provide time for privacy.
C. provide support for the spouse or significant other.
D. suggest referral to a sex counselor or other appropriate professional.
[单项选择]The nurse is providing postoperative care for a client recovering from abdominal surgery. The client is receiving morphine through a client-controlled analgesia pump. Which finding would indicate that the client is obtaining adequate pain relief
A. Awakening several times during the night to redose.
B. Respiratory rate of 10 breaths/minute.
C. Pain rating of 2 or 3 on a scale of 0 to 10.
D. Complaint of itching as an adverse effect of the analgesi

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