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发布时间:2023-11-24 21:24:41

[单项选择]The nurse is preparing an elderly client to get out of bed on the first postoperative day after a total hip replacement. Which of the following activities would be most helpful to the client
A. Demonstrate the use of a walker with partial weight bearing.
B. Explain to the client that she will be lifted out of bed to a chair.
C. Reassure the client that she will be assisted to walk to the hall.
D. Demonstrate the swing-through crutch-walking gait with limited weight hearin

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[单项选择]The overweight adolescent client tells the nurse that he would like to lose weight and asks the nurse’s opinion on how to accomplish his goal. Which of the following suggestions would be most appropriate
A. Exercising more often.
B. Severely limiting calorie intake.
C. Participating in an adolescent weight-reduction program.
D. Cutting clown on sweets and other snacks.
[单项选择]During a conversation with the client, the nurse observes the client shaking his leg and tapping his fingers on the table next to him. The nurse’s best statement is.
A. "I’ll get you something to help you feel less anxious. "
B. "I know that you feel anxious. Let’s discuss something more pleasant. "
C. "I see that you’re anxious. I’ll be back later when you’re calmer. "
D. "I noticed that your leg is shaking and you’re tapping your fingers on the table. How are you feeling now"
[单项选择]At an outpatient clinic, a client asks the nurse how she can prepare for pregnancy. Which of the following responses by the nurse would be best
A. "Begin an iron supplement of 100 mg daily. "
B. "Supplement your diet with 400 meg of folio acid. "
C. "Avoid raw eggs and cats until conception. "
D. "Receive immunization against toxoplasmosis. "
[单项选择]A client asks the nurse to help her make out her will. In this situation, what should be the nurse’s best response
A. "I don’t believe in getting involved in legal matters, but maybe I can find another nurse who’ll help you. "
B. "You need to consult an attorney because I’m not trained in such matters. Is there a family lawyer I can call for you"
C. "I’m not a lawyer, but I’ll do what I can for you. "
D. "You have a long way to go before you’ll need to do that. Let’s wait on it a while, shall we"
[单项选择]A psychotic client reports to the evening nurse that the day nurse put something suspicious in his water with his medication. The nurse replies, "You’re worried about your medication" The nurse’s communication is
A. an example of presenting reality.
B. reinforcing the client’s delusions.
C. focusing on emotional content.
D. a nontherapeutic technique called mind readin
[单项选择]While admitting a client with pneumonia, the nurse notes multiple bruises in various stages of healing. The client has Alzheimer’s disease and a history of multiple fractures. Legally, the most important action for the nurse to take is to
A. document findings thoroughly.
B. question the client about the bruising.
C. inform appropriate local authorities.
D. tell the client’s physician.
[单项选择]The nurse instructs the client with hemorrhoids about how to decrease the discomfort. Which of the following interventions would be most likely recommended by the nurse
A. Decrease fiber in the diet.
B. Decrease physical activity.
C. Take laxatives to promote bowel movements.
D. Use warm sitz baths.
[单项选择]The nurse teaches a client about the relationship between body position and gastroesophageal reflux. Which of the following statements by the client would indicate that he understands measures to avoid problems with reflux while sleeping
A. "I can elevate the head of the bed 4 to 6 inches. "
B. "I can elevate the foot of the bed 4 to 6 inches. "
C. "I can sleep on my back without a pillow under my head. "
D. "I can sleep on my stomach with my head turned to the left. "
[单项选择]The nurse instructs the client with diabetes mellitus that it is vital to recognize and treat hypoglycemia promptly based on which of the following knowledge
A. Hypoglycemia can cause brain damage.
B. Hypoglycemia necessitates increased insulin dosage.
C. The client may become dehydrated quickly.
D. The client may become confused, increasing the risk of injury.
[单项选择]The nurse instructs the female client concerning hormone replacement therapy for menopausal symptoms. Which of the following points should the nurse include in the client’s teaching plan
A. Estrogen therapy eliminates the need for supplemental calcium intake.
B. Estrogen therapy can reduce the risk of menopausal bone loss.
C. The risk of uterine cancer is decreased after menopause.
D. Smoking is associated with a later onset of menopaus
[单项选择]A 19-year-old pregnant client tells the nurse she’s concerned that she may not be able to take care of herself during her pregnancy. She states that prenatal care is expensive and her job doesn’t provide insurance. The nurse should recognize which of the following
A. The client may not take care of herself.
B. The client may not be fit to take care of a child.
C. The client needs to take up a second job.
D. The client should be referred to community resources available for pregnant women.
[单项选择]A 69-year-old client asks the nurse what the difference is between osteoarthritis (OA) and rheumatoid arthritis (RA). Which response is correct
A. OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen joints.
B. OA and RA are very similar. OA affects the smaller joints, and RA affects the larger, weight-bearing joints.
C. OA affects joints on both sides of the body. RA is usually unilateral.
D. OA is more common in women. RA is more common in men.
[单项选择]The nurse has been teaching the client strategies to prevent a recurrence of hemorrhoids. One strategy is maintaining a high-fiber diet. Which of the following breakfast menus is appropriate for the client
A. Danish pastry, prune juice, coffee, and milk.
B. Oatmeal, milk, grapefruit wedges, and bran muffin.
C. Corn flakes, milk, white toast, and orange juice.
D. Scrambled eggs, bacon, English muffin, and apple juic
[单项选择]The nurse would evaluate that the client understands his home care instructions after scleral buckling for a detached retina if the client says which of the following statements
A. "I should avoid abrupt movements of the head. "
B. "I should exercise the eye muscles each day. "
C. "I should turn the entire head rather than just the eyes for sight. "
D. "I should avoid activities requiring good depth perception. "
[单项选择]The nurse provides fluid replacement for a client with burns on 35% of his body. It has been 12 hours since the burns occurred. His blood pressure is 85/60 mmHg. His pulse is 124 beats/minute. Urine output was 25 mL during the past hour. What orders should the nurse expect to receive from the physician
A. Maintain IV fluids at the present rate, and continue to reassess vital signs and urine output hourly.
B. Increase the IV rate, and continue to reassess vital signs and urine output hourly.
C. Decrease the IV rate, and continue to reassess vital signs and urine output hourly.
D. Administer a vasoconstrictor, and reassess vital signs and urine output hourly.
[单项选择]A client with stress incontinence asks the nurse what kind of diet she should follow at home. Which of the following diet regime would most likely be recommended by the nurse
A. Avoid alcohol and caffeine.
B. Decrease fluid intake.
C. Increase intake of fruit juice.
D. Avoid milk products.
[单项选择]During a panic attack, a client runs to the nurse and reports breathing difficulty, chest pains, and palpitations. The client also is pale and has a wide open mouth and raised eyebrows. What should the nurse do first
A. Assist with deep breathing into a paper bag.
B. Orient the client to person, place, and time.
C. Set limits for acting out delusional behaviors.
D. Administer an anxiolytic agent IM.
[单项选择]The nurse assesses the client to determine the cause of autonomic dysreflexi( ).
A. Which of the following is the most common stimulus for an autonomic dysreflexia episodeA. Rising intracranial pressure.
B. Bowel distention.
C. Bladder distention.
D. Anxiety.

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