更多"When caring for an adolescent clien"的相关试题:
[单项选择]When caring for a client with ulcerative colitis, the nurse should include which of the following nursing interventions in the plan of care
A. Encouraging the use of stool softeners.
B. Suggesting sitz baths as needed.
C. Arrange for the client to have a private bathroom.
D. Wearing a gown to provide direct car
[单项选择]When caring for a client with the nursing diagnosis Impaired swallowing related to neuromuscular impairment, the nurse should
A. position the client in a supine position.
B. elevate the head of the bed 90 degrees during meals.
C. encourage the client to remove dentures.
D. encourage thin liquids for dietary intak
[单项选择]When caring for a client during the second stage of labor, which action would be least appropriate
A. Assisting the client with pushing.
B. Ensuring the client’s legs are positioned appropriately.
C. Allowing the client clear liquids.
D. Monitoring the fetal heart rat
[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 bondin
[单项选择]To prevent gastroesophageal reflux in a client with hiatal hernia, the nurse should provide which discharge instructions
A. Lie down after meals to promote digestion.
B. Avoid coffee and alcoholic beverages.
C. Take antacids before meals.
D. Limit fluids with meals.
[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 caring for a client with cholelithiasis. Which sign indicates obstructive jaundice
A. Straw-colored urine.
B. Reduced hematocrit.
C. Clay-colored stools.
D. Elevated urobilinogen in the urin
[单项选择]The nurse is caring for a client with otosclerosis scheduled to undergo a stapedectomy. The client asks the nurse when her hearing will improve. Which response by the nurse is most appropriate
A. Your hearing may not improve but you’ll no longer be bothered by tinnitus.
B. Your hearing may be dramatically improved right after surgery.
C. You may notice improved hearing within 1 to 2 weeks.
D. Your hearing may improve 3 to 6 weeks after surgery.
[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 undergoing a cystoscopy to diagnose bladder cancer. Following the test, the client returns to his room. Which signs should alert the nurse to a potential complication（）
A. Chills and tachycardia.
B. Urinary frequency and burning on urination.
C. Dizziness and fainting.
D. Pink-tinged urine and bladder spasms.
[单项选择]The nurse is caring for a client diagnosed with body dysmorphic disorder. When the client verbalizes disapproval of her physical features, the nurse should（）
A. encourage verbalizations about fears and stressful life situations.
B. agree with the client because she feels a specific physical feature is awful.
C. ignore the comment and talk about less threatening issues.
D. compliment the client on her appearance.
[单项选择]The nurse is caring for a client with an exacerbation of ulcerative colitis. Which of the following nursing measures should be included in the plan of care
A. Encourage regular use of antidiarrheal medications.
B. Incorporate frequent rest periods into the client’s schedule.
C. Have the client maintain a high-fiber diet.
D. Wear a gown when providing direct client car
[单项选择]The nurse is caring for a client with mild active bleeding from placenta previ
A. a. Which of the following observations indicates that an emergency cesarean section may be necessary Increased maternal blood pressure of 150/90 mmHg.B. Decreased amount of vaginal bleeding.C. Fetal heart rate of 80 beats per minute.D. Maternal heart rate of 65 beats per minut
[单项选择]The nurse is caring for a client who is experiencing auditory hallucinations. What would be most critical for the nurse to assess
A. Possible hearing impairment.
B. Family history of psychosis.
C. Content of the hallucinations.
D. Possible sella turcica tumors.
[单项选择]The nurse is caring for a client with acute pulmonary edem
A. a. To immediately promote oxygenation and relieve dyspnea, which of the following interventions is appropriate Administer oxygen.B. Have the client take deep breaths and cough.C. Place the client in high Fowler’s position.D. Perform chest physiotherapy.
[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 during the fourth stage of labor. Which of the following nursing interventions would be LEAST appropriate
A. Catheterization to protect the bladder from trauma.
B. Perineal assessments for swelling and bleeding.
C. Vital signs and fundal checks every 15 minutes.
D. Time with the neonate to initiate breast-feedin
[单项选择]The nurse is caring for a client with bipolar disorder in a manic state. Which of the following nursing interventions should be included in the plan of care
A. Allowing the client to exhibit hyperactive, demanding, manipulative behavior without setting limits.
B. Listening attentively with a neutral attitude and avoiding power struggles.
C. Offering high-calorie meals and strongly encouraging the client to finish all food.
D. Insisting that the client remain active through the day so that he’ll sleep at night.
