单选题The nurse is administering total parenteral nutrition (TPN) to a client who underwent surgery for gastric cancer. What is a major complication of TPN? A. Hyperglycemia. B. Extreme hunger. C. Hypotension. D. Hypoglycemia.
单选题The nurse is preparing the client with a cerebrovascular accident for discharge to home. The nurse should recognize which of the following factors would most likely influence the client's continuing progress in rehabilitation at home? A. The family's ability to provide support to the client. B. The client's ability to ambulate. C. The availability of a home health aide to care for the client. D. The frequency of follow-up visits with the physician.
单选题What is the main symptom of hebephrenic schizophrenia? A．The inappropriate affect of the person B．Abnormal and postural movements C．Delusions and extreme suspiciousness D．Undifferentiated symptoms
单选题As a client's depression begins to lift, the nurse encourages involvement with unit activities, primarily because this type of activity: A．Provides for and encourages group interaction B．Allows the client to verbalize repressed feelings of hostility C．Supports the client's ego strengths and builds self-confidence D．Keeps the client in view of the staff to limit suicide opportunities
单选题The nurse is assessing a 15-year-old female who is being admitted for treatment of anorexia nervosa. Which clinical manifestation is the nurse most likely to find（）
单选题The nurse is providing breast cancer education at a community facility. The American Cancer Society recommends that women get mammograms A. yearly after age 40. B. after the birth of the first child and every 2 years thereafter. C. after the first menstrual period and annually thereafter. D. every 3 years between ages 20 and 40 and annually thereafter.
单选题A respectable lawyer is admitted to an acute care facility with epigastric pain. Since admission, the client has called the nurse every 15 minutes with one request or another. Which of the following could explain this client's behavior
单选题The nurse is evaluating the effectiveness of airway suctioning. Which of the following outcome criteria is most appropriate? A. Respirations unlabored. B. Decreased mucus production. C. Hollow sound on chest percussion. D. Breath sounds clear on auscultation.
单选题Mrs. Cray, an African American, is admitted to the hospital after sustaining a hip fracture. She is 5 ft. , 4 inches tall and weighs 96 lbs. She has five children and has used estrogen replacement therapies for 10 years. She told the nurse that she "just stepped forward and fell. " The results of her bone density tests indicate she has osteoporosis. Which of the following is the greatest risk factor for osteoporosis for this woman? A. Her long-term use of estrogen. B. Her weight. C. Her family. D. Her race.
单选题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 plasma.
单选题Client: "I had an accident. " Nurse: "Tell me about your accident. " This is an example of which therapeutic communication technique? A．Making observations B．Offering self C．General lead D．Reflection
单选题Emergency medical technicians transport a 28-year-old iron worker to the emergency department. They tell the nurse, "He fell from a two-story building. He has a large contusion on his left chest and a hematoma in the left parietal area. He has a compound fracture of his left femur and he's comatose. We intubated him and he's maintaining an arterial oxygen saturation of 92% by pulse oximeter with a manual-resuscitation bag. " Which intervention by the nurse has the highest priority? A. Assessing the left leg. B. Assessing the pupils. C. Placing the client in Trendelenburg's position. D. Assessing level of consciousness.
单选题A 16-year-old student has been admitted to your psychiatric unit after fainting in physical education class. She has a diagnosis of anorexia nervosa, weighs 88 lb (40 kg), and is 5'4" (1.6 m) tall. She has been weighing herself several times per day at home and has lost 30 lb (13.5 kg) in the past 3 months. Which nursing diagnosis would be most appropriate for the client? A. Disturbed thought processes. B. Impaired adjustment. C. Imbalanced nutrition. Less than body requirements. D. Ineffective sexuality patterns.
单选题A client has a diagnosis of borderline personality disorder. She has attached herself to one nurse and refuses to speak with other staff members. She tells the nurse that the other nurses are mean, withhold her medication, and mistreat her. The staff is discussing this problem at their weekly conference. Which intervention would be most appropriate for the nursing staff to implement? A. Provide an unstructured environment for the client. B. Rotate the nurses who are assigned to the client. C. Ignore the client's behaviors. D. Bend unit rules to meet the client's needs.
单选题The nurse is caring for an elderly client who exhibits signs of dementia. The most common cause of dementia in an elderly client is（）
单选题A 23-year-old client in the manic phase of bipolar disorder is admitted to the facility. Which of the following agents would be appropriate for this client
单选题Which one of the following clients is at the greatest risk for aspiration ？（）
单选题A 7-year-old boy is hospitalized with cystic fibrosis. To help him manage secretions and avoid respiratory distress, the nurse should A. perform chest physiotherapy every 4 hours. B. give pancreatic enzymes as ordered. C. place the child in an oxygen tent and have oxygen administered continuously. D. serve a high-calorie diet.
单选题Susan is an adolescent client with pregnancy-induced hypertension (PIH). The physician orders 5% dextrose in Ringer's solution and magnesium sulfate intravenously for her. Before the magnesium sulfate is administered, which of the following assessments would be the priority? A. Maternal urinary output. B. Fetal position. C. Fetal heart rate variability. D. Maternal respiratory rate.
单选题Which of the following nursing actions violates the standards of caring for the body after a patient has been pronounced dead? A．Keeping the patient in a comfortable sitting position until the family has arrived and said their goodbyes B．Placing identification tags on both the shroud and the ankle C．Removing soiled dressings and tubes D．Preparing to transfer the body to the morgue