单选题A 14-year-old female client in skeletal traction for treatment of a fractured femur is expected to be hospitalized for several weeks. When planning care, the nurse should take into account the client's need to achieve what developmental milestone? A. Autonomy. B. Initiative. C. Industry. D. Identity.
单选题Which of the following describes a preterm neonate? A. A neonate weighing less than 2,500 g (5 lb, 8 oz). B. A low-birth-weight neonate. C. A neonate born at less than 37 weeks' gestation regardless of weight. D. A neonate diagnosed with intrauterine growth retardation.
单选题A client with an indwelling urinary catheter is suspected of having a urinary tract infection. The nurse should collect a urine specimen for culture and sensitivity by A. disconnecting the tubing from the urinary catheter and letting the urine flow into a sterile container. B. wiping the self-sealing aspiration port with antiseptic solution and aspirating urine with a sterile needle. C. draining urine from the drainage bag into a sterile container. D. clamping the tubing for 60 minutes and inserting a sterile needle into the tubing above the clamp to aspirate urine.
单选题A 6-year-old girl has been hospitalized with rheumatic fever for 4
weeks. Her symptoms have gradually subsided, and she's now ready for discharge.
Which of the following plans for her health care is most important for her
future well-being?
A. Arrange for her to return to school as soon as possible to promote
psychosocial development.
B. Encourage her to engage in unrestricted physical activity to regain
physical strength.
C. Arrange for the administration of prophylactic antibiotics to prevent a
recurrence of rheumatic fever.
D. Maintain seizure precautions, as central nervous system involvement may
persist for several months.
单选题The nurse is developing a care plan for a client who's at risk for ineffective coping due to the effects of chronic illness. Which factor provides the best evidence that the client is at risk for difficulty in coping with his illness? A. Poor sleeping habits. B. Lack of social support. C. Adverse drug effects. D. Presence of panic disorder.
单选题The nurse is teaching a client who receives nitrates for the relief of chest pain. Which of the following instructions should the nurse emphasize? A. Repeat the dose of sublingual nitroglycerin every 15 minutes for three doses. B. Store the drug in a cool, well-lit place. C. Lie down or sit in a chair for 5 to 10 minutes after taking the drug. D. Restrict alcohol intake to two drinks per day.
单选题Which of the following would be most important to teach a client older than 65 years to prevent a recurrence of bacterial pneumonia? A. Change current diet habits. B. Seek prompt antibiotic therapy for viral infections. C. Receive prophylactic antibiotic therapy. D. Obtain annual influenza and pneumococcal vaccines.
单选题A 20-year-old woman has just been diagnosed with Crohn's disease. She has lost 10 lb (4.5kg) and has cramps and occasional diarrhea. The nurse should include which of the following when doing a nutritional assessment? A. Let the client eat as desired during hospitalization. B. Weigh the client daily. C. Ask the client to list what she eats during a typical day. D. Place the client on I＆O status and draw blood for electrolyte levels.
单选题A 24-year-old primipara decides to breast-feed her baby but says, "I'm worried that I won't be able to breast-feed my baby because my breasts are so small. " Which of the following is appropriate response by the nurse? A. Because her breasts are small, she will have to feed the baby more often. B. Breast size poses no influence on a woman's ability to breast-feed a baby. C. Breast milk can be enhanced by occasional formula feeding. D. The woman's motivation to breast-feed is less important than breast size.
单选题David, a hyperkinetic 5-year-old, exhibits signs of extreme restlessness, short attention span, and impulsiveness. In order to alter the child's milieu that would likely be most therapeutic for him, what could the nurse do? A. Define behaviors of the child that will be acceptable and those that will be unacceptable. B. Allow the child freedom to choose activities in which to participate and other children with whom to associate. C. Increase the child's sensory stimulation and activity. D. Limit the child's opportunities to display anger and frustration.
单选题A 15-year-old primigravida gave birth 2 days ago. She tells the nurse that having her own little baby will be wonderful. Which nursing response would best evaluate the accuracy of the client's expectations? A. "Tell me what your day will be like after you take your baby home. " B. "Will anyone be available to help you at home with the baby?" C. "Have you had any experience taking care of babies?" D. "What are you planning to do with your baby when you return to school?/
单选题A hospitalized client who has a living will is being fed through a nasogastric (NG) tube. During a bolus feeding, the client vomits and begins choking. Which of the following actions is most appropriate for the nurse to take? A. Clear the client's airway. B. Make the client comfortable. C. Start eardiopulmonary resuscitation. D. Stop the feeding and remove the NG tube.
单选题Mrs. Pearson cut judy's hot dog into eight pieces and Sylvia's into six pieces. Sylvia cried because she felt she wasn't getting as much hot dog as Judy. Piaget would say that Sylvia doesn't understand the principle of A．Conservation B．Accommodation C．Egocentrism D．Object permanence
单选题While inspecting the client's chest, the nurse notes that the chest wall contracts on inspiration and bulges on expiration. The nurse suspects which of the following problem from this assessment? A. Hemothorax. B. Flail chest. C. Pneumothorax. D. Tension pneumothorax.
单选题The nurse is assessing a client diagnosed with appendicitis. Which of the following signs or symptoms should the nurse expect to find
单选题Mr. Lambers refuses to pay income taxes because his conscience will not allow him to support a government that spends billions of dollars on military weapons. Mr. Lambers's reasoning best illustrates Kohlberg's ______ stage. A．Egocentric B．Preconventional C．Postconventional D．Conventional
单选题A client is receiving chemotherapy for cancer. The nurse reviews his laboratory report and notes that he has thrombocytopenia. To which nursing diagnosis should the nurse give the highest priority ？（）
单选题A client who has been using crutches at home for t week reports that he is having trouble using the crutches because his armpits hurt and his fingers tingle. What would be the nurse's most appropriate response
单选题A woman tells the nurse that her 6-year-old daughter has severe nosebleeds. Which of the following instructions should the nurse give this woman to manage nosebleeds? A. Help the child assume a comfortable position with her head tilted backward. B. Tilt the child's head backward and place firm pressure on the nose. C. Help the child lie on her stomach and collect the blood on a clean towel. D. Place the child in a sitting position with her neck bent forward and apply firm pressure on the nasal septum.
单选题The nurse is teaching a group of couples in a childbirth class. The nurse describes normal labor, including the premonitory signs of labor. Which of the following comments from the client indicates that further teaching is necessary? A. "My membranes won't rupture until I'm ready to deliver. " B. "I may feel Braxton Hicks contractions as my pregnancy progresses. " C. "Lightening usually occurs 2 weeks before labor begins in a first pregnancy. " D. "I'll begin to see a bloody mucus vaginal discharge as my cervix begins to dilate. /