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发布时间:2024-02-01 21:01:53

[单项选择]A client with rheumatoid arthritis has been taking large doses of aspirin to relieve her joint pain. The nurse should assess the client for which important symptom of aspirin toxicity
A. Chest pain.
B. Drowsiness.
C. Dysuria.
D. Tinnitus.

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[单项选择]A client has been prescribed 75 mg of amitriptyline (Elavil) at bedtime and 15 mg of phenelzine (Nardil) three times per day. Which nursing action takes priority
A. Teaching the client about the adverse effects.
B. Calling the physician and questioning the order.
C. Instituting dietary restrictions.
D. Taking baseline vital signs.
[单项选择]A client has been told to take ibuprofen (Motrin, Advil) to relieve the pain of her rheumatoid arthritis. Which of the following statements indicates the client understands how to take this drug safely and effectively
A. "I should not take aspirin with this drug unless my physician says to. "
B. "I should not take this drug with antacids or food products. "
C. "I do not need to worry about this medicine irritating my stomach. "
D. "I should notice the effects of this medicine within the first few days. "
[单项选择]For the past few days, a client has been having calf pain and notices that the painful calf is larger than the other one. The right calf is red, warm, achy, and tender to touch. Which of the following questions about the pain should the nurse include in the assessment
A. "Does the pain worsen in the morning upon rising"
B. "Does the pain increase with activity and lessen with rest"
C. "Is the pain relieved by position changes"
D. "Is the pain worse with the toes pointed toward the knee/
[单项选择]An unconscious client has been admitted with a head injury. Which of the following nursing diagnoses would receive the greatest priority in the plan of care
A. Disturbed sensory perception related to decreased level of consciousness.
B. Ineffective airway clearance related to inability to remove respiratory secretions.
C. Impaired gas exchange related to shallow irregular breathing.
D. Risk for injury related to disorientation and decreased level of consciousness.
[单项选择]A client has been placed on levodopa to treat his Parkinson’s disease. Which of the following is a common side effect of levodopa that the nurse should include in the client’s teaching plan
A. Pancytopenia.
B. Peptic ulcer.
C. Orthostatic hypotension.
D. Weight loss.
[单项选择]The nurse notices that a depressed client taking amitriptyline (Elavil) for 2 weeks has become very outgoing, cheerful, and talkative. The nurse would suspect which of the following
A. The client is responding to the antipsychotic.
B. The client may be experiencing increased energy and is at an increased risk for suicide.
C. The client is ready to be discharged from treatment.
D. The client is experiencing a split personality.
[单项选择]A client who has been admitted to the emergency room is restless and agitated, has dry mucous membranes, and is complaining of intense thirst. The nurse suspects which of the following electrolyte imbalances
A. Hypokalemia.
B. Hypercalcemia.
C. Hypomagnesemia.
D. Hypernatremi
[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.
[简答题]John Black, a new client, who has been a chargeable person for a number of years, has asked you to explain the following, with reference to income tax.(a) The rules applicable in determining the amount of preliminary tax to be paid for the tax year 2008. (3 marks)
[单项选择]A client who has stress incontinence has been given a pamphlet that describes Kegel exercises. Which of the following statements indicates that the client has understood the instructions in the pamphlet
A. "It will probably take a year before the exercises are effective. "
B. "I should perform these exercises every evening. "
C. "I can do these exercises sitting up, lying down, or standing. "
D. "I need to tighten my abdominal muscles to do these exercises correctly. "
[单项选择]Nursing implications for a client taking central nervous system (CNS) stimulants include monitoring the client for which of the following conditions
A. Hyperpyrexia, slow pulse, and weight gain.
B. Tachycardia, weight loss, and mood swings.
C. Hypotension, weight gain, and listlessness.
D. Increased appetite, slowing of sensorium, and arrhythmias.
[单项选择]A hospitalized client taking 30 mg of tranylcypromine (Parnate) twice per day complains of a stiff neck and headache. Which action would be best for the nurse to take
A. Note the complaints as usual adverse effects.
B. Withhold the next dose of medication.
C. Administer an analgesic, as needed and as prescribed.
D. Help the client relax.
[单项选择]A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client
A. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) test annually.
B. The most common treatment is metronidazole (Flagyl), which should eradicate the problem within 7 to 10 days.
C. The potential for transmission to her sexual partner will be eliminated if condoms are used every time they have sexual intercourse.
D. The human papillomavirus (HPV), which causes condylomata aeuminata, can’t be transmitted during oral sex.
[单项选择]A client who has been using crutches at home for t week reports that he is having trouble using the crutches because his armpits hurt and his fingers tingle. What would be the nurse’s most appropriate response
A. "You need to do more arm exercises. It sounds like your muscles need strengthening. "
B. "That’s normal. As you adjust to the crutches, the discomfort will diminish. "
C. "Be sure to take your pain medication before ambulating. That will help your discomfort. "
D. "Let me watch you ambulate. Your crutches or technique may need some adjustment. "
[单项选择]A client diagnosed with hyperthyroidism has been started on propylthiouracil (PTU) as drug therapy. The nurse should closely observe the client for which of the following side effects
A. Unusual bleeding or bruising.
B. Hypertension.
C. Hypokalemia.
D. Peripheral edem
[单项选择]A client with multiple sclerosis has been prescribed baclofen. The nurse teaches the client about the action of the drug. Which of the following is an accurate instruction regarding this drug’s action
A. "Baclofen will decrease your fatigue and help increase your energy levels. "
B. "Baclofen will help relieve the muscle spasms that you have been experiencing. "
C. "It is an antibiotic that will help treat your urinary tract infection. "
D. "Taking this drug will help decrease the visual problems you have been having. "
[单项选择]A client with peptic ulcer has been prescribed propantheline (Pro-Banthine) as part of the treatment. Which of the following side effects is associated with this medication
A. Nausea.
B. Hypotension.
C. Urinary frequency.
D. Fatigu

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