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发布时间:2023-12-06 02:56:09

[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.

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[单项选择]When caring for a client with the nursing diagnosis Impaired swallowing related to neuromuscular impairment, the nurse should
A. position the client in a supine position.
B. elevate the head of the bed 90 degrees during meals.
C. encourage the client to remove dentures.
D. encourage thin liquids for dietary intake.
[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]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 who has recently delivered, the nurse assesses the client for urinary retention with overflow. Which of the following provides the most accurate picture of retention with overflow()
A. Frequent trips to the bathroom with an average output of 200 to 300 mL per void.
B. Intense urge to urinate with an average output of 250 mL.
C. A varying urge to urinate with an average output of 100 mL.
D. Uterus displaced to the right with increased vaginal bleeding.
[单项选择]When caring for a client with a 3-cm stage 1 pressure ulcer on the coccyx, which of the following actions can the nurse institute independently()
A. Using a povidone-iodine wash on the ulceration three times per day.
B. Using a normal saline solution and applying a protective dressing as necessary.
C. Applying an antibiotic cream to the area three times per day.
D. Massaging the area with an astringent every 2 hours.
[单项选择]When caring for a client during the second stage of labor, which action would be least appropriate()
A. Assisting the client with pushing.
B. Ensuring the client’s legs are positioned appropriately.
C. Allowing the client clear liquids.
D. Monitoring the fetal heart rate.
[单项选择]When caring for a client who is having her second baby, the nurse can anticipate the client’s labor will be which of the following()
A. Shorter than her first labor.
B. About half as long as her first labor.
C. About the same length of time as her first labor.
D. A length of time that can’t be determined based on her first labor.
[单项选择]When caring for a client with a major depression, the nurse usually has the most difficulty, dealing with the:( )
A. Client’s lack of energy
B. Negative nonverbal responses
C. Client’s psychomotor retardation
D. Pervasive quality of the depression
[单项选择]In caring for the client with hepatitis B, which of the following situations would most likely expose the nurse to the virus( )
A. Contact with fecal material.
B. A blood splash into the nurse’s eyes.
C. Disposing of syringes and needles without recapping.
D. Touching the client’s arm with ungloved hands while taking blood pressure.
[单项选择]When caring for a client who has had a cesarean birth, which of the following nursing interventions is least appropriate( )
A. Removing the initial dressing for incision inspection.
B. Monitoring pain status and providing necessary relief.
C. Supporting self-esteem concerns about delivery.
D. Assisting with parental neonate bonding.
[单项选择]The client asks when he can stop taking the eye medication for his chronic open-angle glaucoma. Which would be the nurse’s best response()
A. "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]The nurse is caring a client in an acute care mental health program. The client refuses his morning dose of an oral antipsychotic medication and believes he’s being poisoned. What should the nurse do( )
A. Crushing the medication and putting it in his food.
B. Consulting with the physician about a plan of care.
C. Administering the medication by injection.
D. Omitting the dose and trying again the next day.
[单项选择]The nurse is caring for a client with diabetes mellitus. When teaching the client about foot care, which instruction should the nurse provide()
A. Examine feet once per week for redness, blisters, and abrasions.
B. Apply lotion to dry feet, especially between the toes.
C. Avoid hot-water bottles and heating pads.
D. Dry feet vigorously after each bath.
[单项选择]The nurse is caring for a client who recently underwent a tracheostomy. The first priority when caring for a client with a tracheostomy is()
A. helping him communicate.
B. keeping his airway patent.
C. encouraging him to perform activities of daily living.
D. preventing him from developing an infection.
[单项选择]The nurse is caring for a client who is experiencing sinus bradycardia with a pulse rate of 40 beats/minute. His blood pressure is 80/50 mmHg and he complains of dizziness. Which medication would be used to treat his bradycardia()
A. Atropine.
B. Dobutamine (Dobutrex).
C. Bretylium (Bretylol).
D. Lidocaine (Xylocaine).
[单项选择]The nurse is caring for a client who required chest tube insertion for a pneumothorax. To assess a client for pneumothorax resolution, the nurse can anticipate that he’ll require()
A. monitoring of arterial oxygen saturation (SaO2).
B. arterial blood gas (ABG) studies.
C. chest auscultation.
D. a chest X-ray.
[单项选择]The nurse is caring for a client who complains of chronic pain. Given this complaint, why would the nurse simultaneously evaluate both general physical and psychosocial problems()
A. Depression is commonly characterized by pain disorders and somatic complaints.
B. Combining evaluations will save time and allow for quicker delivery of health care.
C. Most insurance plans won’t cover evaluation of both as separate entities.
D. The physician doesn’t have the training to evaluate for psychosocial considerations.

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