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发布时间:2024-02-01 19:30:23

[单项选择]A client with heart failure asks the nurse about the reason for taking enalapril maleate. The nurse would explain that the medication is prescribed for which of the following reason
A. Lower the blood pressure by increasing peripheral vasoconstriction.
B. Lower the heart rate by slowing the conduetion system.
C. Block the conversion of angiotensin Ⅰ to angiotensin Ⅱ.
D. Increase myocardial contractility, thereby improving cardiac output.

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[单项选择]A mother asks the nurse about how to manage her child’s morning hyperglycemi
A. a. Which of the following would be most appropriate response by the nurse Question the mother if her child has been avoiding sweets.B. Tell the mother that this is normal and to continue with the ordered doses.C. Ask the mother what her child’s blood glucose levels have been for the last few days.D. Inform the mother that this is unusual and the child needs to be seen in the emergency room now.
[单项选择]A client with heart failure develops pink frothy sputum, coarse crackles, and restlessness. Which of the following actions should the nurse take first
A. Check the client’s blood pressure.
B. Place the client in high Fowler’s position.
C. Calculate the client’s fluid balance.
D. Notify the physician.
[单项选择]A client with heart failure loses 3.2 kg while hospitalized. Approximately how many pounds has the client lost
A. 1 pound.
B. 3 pounds.
C. 5 pounds.
D. 7 pounds.
[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]The nurse is about to administer a medication to a client with whom the nurse is unfamiliar. To verify the client’s identity, the nurse should
A. ask the client his name.
B. check the name posted outside the client’s room.
C. ask a family member the identity of the client.
D. check the client’s identification bracelet.
[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]The mother of a new-born asks the nurse how often she should breastfeed her baby. Which of the following responses by the nurse would be best
A. "Newborns should breastfed at least every 3 hours during the day. "
B. "Newborns should be fed when they cry. "
C. "As long as the baby feeds four times a day, he will get enough. "
D. "Newborns may breastfeed continuously until they stabilize. "
[单项选择]Mrs. Brown, who is breast-feeding, asks the nurse if she should supplement breast- feeding with formula feeding. The nurse bases the response on which of the following
A. Formula feeding should be avoided to prevent interfering with the breast milk supply.
B. Primarily, water supplements should be used to prevent jaundice.
C. Formula supplements can provide nutrients not found in breast milk.
D. More vigorous sucking is needed for a bottle-feeding, so supplements should be avoide
[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]A mother of a 4-month-old infant asks the nurse when she should wean from breast-feeding and begin using a cup. Which of the following would be the best indication of the infant’s readiness to be weaned
A. Taking solid foods well.
B. Sleeping through the night.
C. Shortening the nursing time.
D. Eating on a regular schedul
[单项选择]The nurse is preparing the client with heart failure to go home. Which of the following should be most important to include in the discharge education
A. Monitor urine output daily.
B. Monitor daily potassium intake.
C. Maintain bed rest for at least 1 week.
D. Weigh daily.
[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]A client with acute respiratory failure is intubated and placed on mechanical ventilation. Which intervention is most appropriate when suctioning the client
A. Insert the suction catheter while applying suction.
B. Apply suction until all the secretions have been removed.
C. Use the same catheter to first suction the mouth, then the endotraeheal tube.
D. Preoxygenate with 100% oxygen before suctionin
[单项选择]A nurse instructs a prenatal class about the importance of doing Kegel exercises frequently. Kegel exercises help to
A. promote better breathing by strengthening the diaphragm muscle.
B. maintain good perineal muscle tone by tightening the pubococcygeus muscle.
C. minimize leg cramps by strengthening the calf muscles.
D. prepare the mother for pushing by strengthening the abdominal muscles.
[单项选择]The nurse is teaching a client about using vaginal medications. The nurse should instruct the client to
A. use a tampon after insertion to increase medication absorption.
B. release and pull up on the applicator before removal.
C. never refrigerate suppositories.
D. use only a water-soluble lubricant when inserting a suppository.
[单项选择]A client with hepatitis C develops liver failure and GI hemorrhage. The blood products that would most likely bring about hemostasis in the client are
A. whole blood and albumin.
B. platelets and packed red blood cells.
C. fresh frozen plasma and whole blood.
D. cryoprecipitate and fresh frozen plasm
[单项选择]The nurse is teaching a psychiatric client about her prescribed drugs, chlorpromazine and benztropine. Why is benztropine administered
A. To reduce psychotic symptoms.
B. To reduce extrapyramidal symptoms.
C. To control nausea and vomiting.
D. To relieve anxiety.
[单项选择]During a team meeting,a team member asks about the measurements that will be used on the project to judge performance.The team member feels that some of the measures related to activities assigned him are not valid measurements.The project is BEST considered in what part of the project management process ?()
A. Closin
B. Monitoring and controllin
C. Executin
D. Initiatin

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