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发布时间:2024-01-26 18:28:15

[单项选择]Which of the following symptoms would the nurse most likely observe in a client with cholecystitis from cholelithiasis
A. Black stools.
B. Decreased white blood cell count.
C. Nausea after ingestion of high-fat foods.
D. Elevated temperature of 103°F(39.4℃).

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[单项选择]Which of the following symptoms would indicate that a client is at risk for autonomic dysreflexia
A. Sudden, severe hypertension.
B. Hot, dry skin.
C. Paralytic ileus.
D. Bradycardi
[单项选择]Which of the following signs or symptoms would lead the nurse to suspect that a 10-year-old child is experiencing early salicylate toxicity
A. Chest pain.
B. Pink-colored urine.
C. Slowed pulse rate.
D. Dizziness.
[单项选择]Which of the following signs and symptoms would alert the nurse to possible internal bleeding in a client who has undergone pulmonary lobectomy
A. Increased blood pressure and decreased pulse and respiratory rates.
B. Sanguineous drainage from the chest tube at a rate of 50 mL per hour during the past 3 hours.
C. Restlessness and shortness of breath.
D. Urine output of 180 mL during the past 3 hours.
[单项选择]Which of the following signs or symptoms would be of least importance when the nurse evaluates the client for postoperative peripheral nerve damage
A. Pain.
B. Bleeding.
C. Altered sensation.
D. Pulselessness.
[单项选择]Which of the following signs and symptoms would be an early indication that the client’s serum potassium level is below normal
A. Diarrhea.
B. Tingling in the fingers.
C. Sticky mucous membranes.
D. Muscle weakness in the legs.
[单项选择]Which of the following signs or symptoms would the nurse expect to see in a client with pancreatitis
A. Bradycardia.
B. Hypertension.
C. Decreased white blood cell count.
D. Left upper quadrant abdominal pain.
[单项选择]Which assessment would the nurse perform to validate that the membranes are ruptured
A. Observe for a pink, mucus vaginal discharge.
B. Test the leaking fluid with nitrazine paper.
C. Assess the client’s temperature, pulse, and blood pressure.
D. Send a urine specimen from the client to be culture
[单项选择]Which nursing diagnosis would the nurse anticipate as having the highest priority for the client with gestational diabetes in labor
A. Risk for infection related to invasive procedures during labor.
B. Risk for injury to fetus related to the effects of diabetes on uteroplacental functioning.
C. Deficient knowledge related to lack of information about care during labor.
D. Interrupted family processes related to diabetes increasing the client’s risk of complications.
[单项选择]Which of the following would the nurse interpret as indicating that a child is receiving too much intravenous fluid too rapidly
A. Marked increase in abdominal girth.
B. Evidence of protein in the urine.
C. Dark amber colored urine.
D. Moist crackles in the lung fields.
[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]Which of the following would the nurse expect to include in the plan of care for a client with diabetes who is in labor
A. Measuring urine output every 4 hours.
B. Monitoring blood glucose levels every hour.
C. Administering insulin subcutaneously every 4 hours.
D. Checking deep tendon reflexes every 2 hours.
[单项选择]Which of the following would the nurse expect to assess as presumptive signs of pregnancy
A. Amenorrhea and quickening.
B. A positive pregnancy test and a fetal outline.
C. Braxton Hicks contractions and Hegar’s sign.
D. Uterine enlargement and Chadwick’s sign.
[单项选择]Which of the following would the nurse expect to find in a client diagnosed with hyperparathyroidism
A. Hypocalcemia.
B. Hypercalcemia.
C. Hyperphosphatemia.
D. Hypophosphaturi
[单项选择]Which of the following measures would the nurse take into consider to help minimize joint pain in a child with rheumatic fever
A. Massaging the affected joints.
B. Applying ice to the affected joints.
C. Limiting movement of the affected joints.
D. Encouraging progressive weight bearin
[单项选择]Which of the following functions would the nurse expect to be unrelated to the placenta
A. Production of estrogen and progesterone.
B. Detoxification of some drugs and chemicals.
C. Exchange site for food, gases, and waste.
D. Production of maternal antibodies.
[单项选择]Which of the following concepts would the nurse incorporate into the plan of care for a 4-year-old child to psychologically prepare the child for cardiac catheterization
A. Anxiety decreases when a preschooler is protected from learning about unpleasant events.
B. Preschoolers are unable to understand the procedure.
C. Little psychological preparation can be given to preschoolers.
D. Preparation is a joint responsibility of the physician, parents, and nurs
[单项选择]Which of the following methods would the nurse use to feed an infant after surgical repair of cleft lip
A. Gastric gavage.
B. Intravenous fluids.
C. Rubber-tipped medicine dropper.
D. Bottle with a lamb’s nippl
[单项选择]Which of following would lead the nurse to suspect that a client’s labor is moving quickly and that the physician should be notified
A. An increased sense of rectal pressure.
B. An increase in fetal heart rate variability.
C. A decrease in intensity of contractions.
D. Episodes of nausea and vomitin

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