更多"When assessing a client with partia"的相关试题:
[单项选择]The client asks when he can stop taking the eye medication for his chronic open-angle glaucom（ ）.
A. Which would be the nurse’s best responseA. "You can stop using the eye drops when your vision improves. "
B. "You Need to use the eye drops only when you has symptoms. "
C. "You can discontinue the eye drops after 2 months of normal eye examinations. "
D. "You must use the eye medication for the rest of his life. "
[单项选择]To check for arterial insufficiency when a client is in a supine position, the nurse should elevate the extremity at a 45-degree angle and then have the client sit up. The nurse suspects arterial insufficiency if the assessment reveals which of the following
A. Elevational rubor.
B. No rubor for 10 seconds after the maneuver.
C. Dependent pallor.
D. A 30-second filling time for the veins.
[单项选择]When preparing a client for a scheduled colonoscopy, which of the following nursing interventions would the nurse include
A. Inserting a nasogastric tube 12 hours before the procedure.
B. Cleansing the bowel with laxatives or enemas.
C. Administering an antibiotic to decrease the risk of infection.
D. Spraying a local anesthetic into the client’s throat to calm the gag reflex.
[单项选择]When instructing the client with severe burns about proper nutrition, the nurse would encourage him to eat which of the following meals
A. Chicken breast, salad, iced tea.
B. Roast beef sandwich, milkshake, cottage cheese.
C. Hamburger, orange, coffee.
D. Pasta salad, carrots, iced te
[单项选择]When caring for an adolescent client diagnosed with depression, the nurse should remember that depression manifests differently in adolescents and adults. In an adolescent, signs and symptoms of depression are likely to include which of the following
A. Helplessness, hopelessness, hypersomnolence, and anorexia.
B. Truancy, a change of friends, social withdrawal, and oppositional behavior.
C. Curfew breaking, stealing from family members, truancy, and oppositional behavior.
D. Hypersomnolence, obsession with body image, and valuing of peers’ opinions.
[单项选择]The nurse is irrigating a client’s colostomy when the client complains of abdominal cramping after receiving about 100 mL of the irrigating solution. What should the nurse do first
A. Stop the flow of solution temporarily.
B. Reposition the client on to her right side.
C. Remove the irrigation tube.
D. Massage the abdomen gently.
[单项选择]When magnesium sulfate is administered to a client in labor, its action occurs at which of the following sites
A. Neural-muscular junctions.
B. Distal renal tubules.
C. Central nervous system (CNS).
D. Myocardial fibers.
[单项选择]When a client experiences a loss of vibratory sense on examination, this indicates（）
A. injury to the cranial nerves.
B. injury to the peripheral nerves.
C. intact cranial nerves.
D. intact peripheral nerves.
[单项选择]When assessing a client as a candidate for crutch walking, the nurse should take into account that for some elderly people, crutch walking is an impractical goal primarily because which of the following reason
A. Decreased reaction time.
B. Decreased visual acuity.
C. Decreased motor coordination.
D. Decreased level of comprehension.
[单项选择]When helping the client who has had a cerebrovascular accident (CVA) learn self-care skills, the nurse should use which of the following interventions to help him learn to dress himself
A. Encourage the client to wear clothing designed especially for people who have had a CVA.
B. Dress the client, explaining each step of the process as it is completed.
C. Teach the client to put on clothing on the affected side first.
D. Encourage the client to ask his wife for help when dressin
[单项选择]When caring for a client with ulcerative colitis, the nurse should include which of the following nursing interventions in the plan of care（）
A. Encouraging the use of stool softeners.
B. Suggesting sitz baths as needed.
C. Arrange for the client to have a private bathroom.
D. Wearing a gown to provide direct care.
[单项选择]When caring for a client with preeclampsia, which action is a priority（）
A. Monitoring the client’s labor carefully and preparing for a fast delivery.
B. Continually assessing the fetal tracing for signs of fetal distress.
C. Checking vital signs every 15 minutes to watch for increasing blood pressure.
D. Reducing visual and auditory stimulation.
