单选题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.
单选题The nurse is caring for a client admitted to the hospital with a bowel obstruction. The nurse should wear sterile gloves when （）.
单选题A nursing care plan for a client with a bipolar disorder should include.. A．Providing a structured environment B．Touching the client to provide reassurance C．Engaging the client in conversation about current attain D．Designing activities that will require the client to maintain contact with reality.
单选题A breast-feeding neonate will turn his head toward the mother's breast in a natural instinct to find food. What is the name of this reflex
单选题Which procedure or practice is associated with surgical asepsis（）
单选题The nurse is interviewing the mother of a 7-year-old child. Which of the following symptoms reported by the mother would most lead the nurse to suspect that the child has type 1 diabetes? A. Recent bed wetting. B. Poor appetite. C. Weight gain. D. Boundless energy.
单选题A neonate receives an Apgar score at 1 and 5 minutes after birth. The 5-minute Apgar score is more predictive for which of the following
单选题A client who has discovered a breast lump is tearful and expresses concern over her situation. The best way for the nurse to respond to her is by A. encouraging a discussion of her problems and fears. B. asking her if she would like to talk to the chaplain. C. giving her reassurance. D. recommending a support group.
单选题Which intervention will best help to prevent a client from falling? A. Monitor the client regularly or continually if his condition warrants it. B. Keep the bed at a level where the nurse can easily provide care. C. Make sure the side rails of the client's bed are down. D. Restrain the client to prevent him from getting out of bed and falling.
单选题Many clients on the eating disorders unit have been admitted for anorexia nervosa. The signs and symptoms that would be most specific for this diagnosis are A．Slow pulse, 10% weight loss, and alopecia B．Compulsive behaviors, excessive fears, and nausea C．Excessive activity, memory lapses, and an increased pulse D．Excessive weight loss, amenorrhea, and abdominal distention
单选题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?"
单选题Signs and symptoms of retinal detachment include which of the following? A. Painless decrease in vision, a veil over the visual field, and flashing lights. B. A veil over the visual field, increased intraocular pressure, and yellow-green halos around visual images. C. Photophobia, yellow-green halos around visual images, and blurred vision. D. Unilateral eye inflammation, a cloudy cornea, and a moderately dilated pupil.
单选题Following a cystoscopy that confirmed a diagnosis of bladder cancer, a client is scheduled for chemotherapy and a ileal conduit urinary diversion. The nurse should include which of the following points in the client's preoperative teaching
单选题The mother of a 9-month-old asks about adding new foods to his diet. The child is being breast-fed and takes formula and cereal when at the sitter's. Which of the following would the nurse instruct the mother to do
单选题The nurse is caring for a client whom she suspects is paranoid. How would the nurse confirm this assessment? A. Indirect questioning. B. Direct questioning. C. Lead-in sentences. D. Open-ended sentences.
单选题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. /
单选题Which of the following postoperative complications would the nurse particularly anticipate in a client undergoing a pelvic surgical procedure such as an ileal conduit? A. Bleeding. B. Infection. C. Thrombophlebitis. D. Atelectasis.
单选题A 4-year-old girl is admitted to the hospital to rule out leukemia. Which of the following would be the best room assignment? A. With a 4-year-old girl who has rheumatoid arthritis. B. With a 5-year-old boy who is having a tonsillectomy. C. With a 4-year-old girl who has leukemia. D. Alone in a private room.
单选题A high school student is referred to the school nurse for suspected substance abuse. Following the nurse's assessment and interventions, what would be the most desirable outcome ？（）
单选题A 28-year-old accountant is admitted to the neurologic unit after a sudden onset of blindness the day before an important project is due for her boss. After preliminary evaluation and testing yields no positive findings, the physician's initial reaction is that the client may be demonstrating which defense mechanism? A. Repression. B. Transference. C. Reaction formation. D. Conversion.