单选题The major goal of therapy in crisis intervention is to A. withdraw from the stress. B. resolve the immediate problem. C. decrease anxiety. D. provide documentation of events.
单选题An 18-month-old child is brought to the emergency department with suspected croup. The child appears frightened and cries as the nurse approaches him. The nurse needs to assess the child's breath sounds. The best way to approach the child is to A. expose the child's chest quickly and auscultate breath sounds as quickly and efficiently as possible. B. ask the mother to wait briefly outside until the assessment is over. C. tell the child the nurse is going to listen to his chest with the stethoscope. D. allow the child to handle the stethoscope before listening to his lungs.
单选题The nurse is developing a care plan for a client in her 34th week of gestation who is experiencing premature labor. What nonpharmacologic intervention should the plan include to halt premature labor
单选题A client who is breast-feeding has a temperature of 102°F (38.9℃) and complains that her breasts are engorged. Her breasts are swollen, hard, and red. Which of the following actions would be inappropriate in managing the client's breast engorgement? A. Applying frozen cabbage leaves to the breasts. B. Encouraging the client to shower with her back to the water. C. Encouraging the client to nurse her baby frequently. D. Applying a breast binder to support the breasts.
单选题A nurse is caring for a client with a history of GI bleeding, sickle cell disease, and a platelet count of 22,000/μL. The client is dehydrated and receiving dextrose 5% in half-normal saline solution at 150mL/hr. He reports severe bone pain and is scheduled to receive a dose of morphine sulfate. In administering the medication, the nurse should avoid which route? A. Oral. B. IV. C. IM. D. Subcutaneous (SC).
单选题A client has had a cerebrovascular accident (CVA). Because the CVA affected the left side of the client's brain, the nurse should anticipate that the client would most likely experience A. dyslexia. B. apraxia. C. agnosia. D. expressive aphasia.
单选题A major recognizable difference between clients with anorexia nervosa and clients with bulimia nervosa is that clients with anorexia usually A．Tend to be more extroverted than clients with bulimia nervosa B．Seek intimate relationships whi]e clients with bulimia avoid them C．Deny the problem while clients with bulimia generally recognize that their eating pattern is abnormal D．Act at greater risk for physical problems such as fluid and electro
单选题The nurse is teaching family members of a client with hepatitis A virus (HAV). Family members were exposed to the client and, therefore, should receive immunoglobulin. The nurse should tell the family members that immunoglobulin A. prevents hepatitis infection in all people. B. provides immunity for life. C. must be administered within 2 weeks of exposure. D. should be administered even if the person has anti-HAV antibodies.
单选题A client had a nephrectomy 2 days ago and is now complaining of
abdominal pressure and nausea. What should the nurse do first?
A. Auscultate for bowel sounds.
B. Palpate the abdomen.
C. Change the client's position.
D. Insert a rectal tube.
单选题To assess orientation to place in a client suspected of having Alzheimer's the nurse should ask A．"Where are you?" B．"Who brought you here?" C．"Do you know where you are?" D．"Do you know the day you arrived?/
单选题Before bowel surgery, the infant is to receive oral neomycin for 3 days. The appropriate pediatric dosage of neomycin sulfate is 10. 3 mg/kg q 4 hours. The infant weighs 15 pounds, 6.4 ounces. Which of the following dosages most closely approximates a safe daily dose? A. 50 mg/day. B. 150 mg/day. C. 280 mg/day. D. 430 mg/day.
单选题A neonate girl is admitted to the nursery following a long and difficult labor. Admission vital signs are temperature 96.5°F (35.8℃), heart rate 168 beats/minute, and respiratory rate 64 breaths/minute. The infant is placed under the radiant heater. What should the nurse do next? A. Review the pregnancy and delivery history. B. Call the pediatrician to report findings. C. Perform a full neonate assessment. D. Check the neonate's blood glucose level.
单选题During the evening shift on the day of the client's surgery, the nurse notices that the nasogastric tube drains 500 mL of green-brown fluid. What should the nurse do? A. Record the amount of drainage on the client's chart. B. Irrigate the tube with normal saline solution. C. Call the physician immediately. D. Increase the intravenous infusion rate.
单选题A 6-week-old female infant exhibits dry scaly skin and a protruding tongue after having trouble breast-feeding. A diagnosis of congenital hypothyroidism is made. The mother asks the nurse why the child was not diagnosed with this condition at birth. Which of the following would be the nurse's best response? A. "We had the results of the newborn screen, but you did not bring the baby in for the 2-week checkup. " B. "We could not reach you at home to give you the results of tests taken at birth. " C. "Your baby had little need for thyroid hormone until she was 1 month old. " D. "Newborns generally receive enough thyroid hormone from the mother to get by the first few weeks. /
单选题Theophylline ethylenediamide is administered to a client with COPD. The nurse knows that the medication is for which of the following purpose? A. To reduce bronchial secretions. B. To relax bronchial smooth muscle. C. To strengthen myocardial contractions. D. To decrease alveolar elasticity.
单选题The nurse teaches a mother how to provide adequate nutrition for her toddler, who has cerebral palsy. Which of the following observations indicates that teaching has been effective? A. The toddler stays neat while eating. B. The toddler finishes the meal within a specified period of time. C. The child lies down to rest after eating. D. The child eats finger foods by himself.
单选题Which of the followings distinguish the schizophrenic from the non-schizophrenic? A．A heightened capacity for pleasure B．A strong tendency to be dependent on others C．A disturbance in mental functioning D．An impairment in social competence
单选题A client with a forceful, pounding heartbeat is diagnosed with mitral valve prolapse. This client should avoid which of the following? A. High volumes of fluid intake. B. Aerobic exercise programs. C. Caffeine-containing products. D. Foods rich in protein.
单选题The nurse is caring for a client who undergoes a total right knee replacement. The nurse would anticipate which of the following activity orders for this client on the first postoperative day? A. Bed rest for 24 to 48 hours after surgery. B. Ambulate with walker twice a day. C. Up to chair with leg elevated. D. Dangle at bedside for 20 minutes.
单选题The nurse is administering sublingual nitroglycerin (Nitrostat) to the client. Immediately afterward, the client may experience which of the following symptoms? A. Nervousness or paresthesia. B. Throbbing headache or dizziness. C. Drowsiness or blurred vision. D. Tinnitus or diplopia.