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发布时间:2023-12-14 22:26:28

[单项选择]The nurse plans to teach a client who is receiving radiation therapy how to care for his skin at home. Which of the following should be included in the nurse’s instructions
A. "Apply a heating pad to the area to relieve pain. "
B. "Keep the area covered when you go outdoors. "
C. "You may use deodorant soap if you wish to cleanse the area. "
D. "Put baby oil on the area after each treatment to keep it from getting dry. "

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[单项选择]The nurse would teach the client to implement which of the following nasal care measures after the nasal packing is removed
A. Irrigate the nares with normal saline solution daily.
B. Remove old blood from inside the nares with cotton-tipped applicators.
C. Avoid cleaning the nares for at least 2 days.
D. For comfort lubricate the membranes with a water-soluble lubricant.
[单项选择]The nurse plans to administer an injection of heparin to a client. Which of the following techniques for heparin administration is appropriate
A. Selects a 1.5-inch, 21-gauge needle for the injection.
B. Makes the injection into the deltoid muscle.
C. Applies gentle pressure to the site for 5 to 10 seconds after the injection.
D. Aspirates with the plunger to check for entry into the blood vessel before injecting the heparin.
[单项选择]Which of the following would the nurse teach the mother of a child with leukemia who has an absolute neutrophil count of 900/mm3
A. The child should wear gloves when in contact with others.
B. The child should stay away from crowds of people.
C. The child should eat raw fruits and vegetables.
D. Anyone in direct contact with the child must wear a gown and mask.
[单项选择]The nurse is developing a plan to teach a mother how to reduce her baby’s risk of developing otitis medi
A. a. Which of the following directions should the nurse include in the teaching plan Administer antibiotics whenever the baby has a cold.B. Place the baby in an upright position when giving a bottle.C. Avoid getting the ears wet while bathing or swimming.D. Clean the external ear canal daily.
[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 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.
[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]A client with cholecystitis is receiving propantheline bromide. The client is given this medication because it
A. reduces gastric solution production and hypermobility.
B. slows emptying of the stomach and reduces chyme in the duodenum.
C. inhibits contraction of the bile duct and gallbladder.
D. decreases bile secretions.
[单项选择]A client receiving haloperidol (Haldol) complains of a stiff jaw and difficulty swallowing. Which of the following should be the nurse’s first action
A. Reassure the client and administer as-needed lorazepam (Ativan) IM.
B. Administer as-needed dose of benztropine (Cogentin) by mouth as ordered.
C. Administer as-needed dose of benztropine (Cogentin) IM as ordered.
D. Administer as-needed dose of haloperidol (Haldol) by mout
[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 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 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]A client is receiving a radiation implant for the treatment of bladder cancer. Which of the following interventions is appropriate
A. Flush all urine down the toilet.
B. Restrict the client’s fluid intake.
C. Place the client in a semiprivate room.
D. Monitor the client for signs and symptoms of cystitis.
[单项选择]A client is receiving chemotherapy for cancer. The nurse reviews his laboratory report and notes that he has thrombocytopeni
A. a. To which nursing diagnosis should the nurse give the highest priority Activity intolerance.B. Impaired tissue integrity.C. Impaired oral mucous membranes.D. Ineffective tissue perfusion (cerebral, cardiopulmonary, GI).
[单项选择]The nurse is caring for a primigravida who is scheduled for a fetal acoustic stimulation test (FAST). The nurse should explain to the client that the primary purpose of this test is to()
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B. induce fetal heart rate accelerations.
C. shorten the contraction stress test.
D. determine fluid volume.
[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.

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