单选题Which laboratory test results would the nurse expect to find in a
client diagnosed with Hashimoto's thyroiditis?
A. Thyroxine (T4), 22μg/dL; triiodothyronine (T3),
320ng/dL; thyroid-stimulating hormone (TSH) undetectable.
B. T4, 22μg/dL; T3, 200ng/dL; TSH,0.1μIU/mL.
C. T4, 2μg/dL; T3, 200ng/dL; TSH,5.9μIU/mL.
D. T4, 2μg/dL; T3, 35ng/dL; TSH,45μIU/mL.
单选题The nurse is caring for four clients on a step-down intensive care unit. The client at the highest risk for developing nosocomial pneumonia is the one who A. has a respiratory infection. B. is intubated and on a ventilator. C. has pleural chest tubes. D. is receiving feedings through a jejunostomy tube.
单选题A client has been prescribed 75 mg of amitriptyline (Elavil) at bedtime and 15 mg of phenelzine (Nardil) three times per day. Which nursing action takes priority ？（）
单选题Which of the following would the nurse expect to find in a client diagnosed with hyperparathyroidism? A. Hypocalcemia. B. Hypercalcemia. C. Hyperphosphatemia. D. Hypophosphaturia.
单选题A child is to receive intrathecal methotrexate (Folex) for treatment of meningeal leukemia. For which reason would intrathecal administration be selected? A. The child has very poor veins and is unable to receive drugs IV. B. This drug would be destroyed by gastric acid and so it can't be given by mouth. C. This drug is poorly transported across the blood-brain barrier, so it's administered intrathecally. D. Because the drug is rapidly absorbed if given IM, adverse effects may appear more quickly.
单选题The community health nurse develops a health education program about preventing the transmission of hepatitis B. The nurse evaluates that the teaching has been effective when the community residents identify which of the following activities to be high risk for acquiring hepatitis B? A. Sharing needles for drug use. B. Ingestion of contaminated seafood. C. Frequent use of marijuana. D. Ingestion of large amounts of acetaminophen (Tylenol).
单选题A client who recently had a cerebrovascular accident requires a cane to ambulate. When teaching about cane use, the rationale for holding a cane on the uninvolved side is to A. prevent leaning. B. distribute weight away from the involved side. C. maintain stride length. D. prevent edema.
单选题Shortly after being admitted to the coronary care unit with an acute myocardial infarction (MI), a client reports midsternal chest pain radiating down the left arm. The nurse notices that the client is restless and slightly diaphoretic, and measures a temperature of 99. 6°F (37.6℃), a heart rate of 102 beats/minute; regular, slightly labored respirations at 26 breaths/minute; and a blood pressure of 150/90mmHg. Which nursing diagnosis takes highest priority? A. Risk for imbalanced body temperature. B. Decreased cardiac output. C. Anxiety. D. Acute pain.
单选题"Why do you always complain about the night nurse? She is a nice woman and a fine nurse, and has five kids to support. You're wrong when you say she is noisy and uncaring. " This example reflects which nontherapeutic technique? A．Requesting an explanation B．Defending C．Disagreeing D．Advising
单选题During a shock state, the renin-angiotensin-aldosterone system exerts which effect on renal function? A. Decreased urine output, increased reabsorption of sodium and water. B. Decreased urine output, decreased reabsorption of sodium and water. C. Increased urine output, increased reabsorption of sodium and water. D. Increased urine output, decreased reabsorption of sodium and water.
单选题A client admitted for a hysterectomy has a secondary diagnosis of Ménière s disease. Which of the following nursing interventions should the nurse include in the client's plan of care to decrease the effects of tinnitus? A. Reduce the amount of glucose and cholesterol in the diet. B. Encourage the client to listen to the radio with earphones. C. Encourage a weight-reduction diet. D. Administer antihypertensive medications as ordered.
单选题Which of the following methods would the nurse use to feed an infant
after surgical repair of cleft lip?
A. Gastric gavage.
B. Intravenous fluids.
C. Rubber-tipped medicine dropper.
D. Bottle with a lamb's nipple.
单选题What is the nurse's most important role in caring for a client with a mental health disorder? A. To offer advice. B. To know how to solve the client's problems. C. To establish trust and rapport. D. To set limits with the client.
单选题A client with hepatitis A expresses concern that his friends may also acquire hepatitis. Which of the following is most commonly used for prophylactic treatment of people exposed to hepatitis A? A. Penicillin. B. Sulfadiazine (Microsulfon). C. Immune serum globulin. D. Interferon.
单选题At an outpatient clinic, a client asks the nurse how she can prepare
for pregnancy. Which of the following responses by the nurse would be best?
A. "Begin an iron supplement of 100 mg daily. "
B. "Supplement your diet with 400 meg of folio acid. "
C. "Avoid raw eggs and cats until conception. "
D. "Receive immunization against toxoplasmosis. "
单选题The most common side effects of regular Methadone use include A．Nausea, fatigue, and extreme hunger B．Seizures, hoarseness, and electrolyte imbalance C．Lightheadedness, euphoria, hypotension, and urinary retention D．Weakness, hypertension, and sedation
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? A. Tonic neck reflex. B. Moro's reflex. C. Grasp reflex. D. Rooting reflex.
单选题When selecting a room for a client with the diagnosis of bipolar disorder, manic phase, who is hyperactive and talking nonstop in a loud demanding voice, the nurse recognizes that a most important factor would be that the A．Room have a pleasant view B．Atmosphere be quiet and restful C．Location be close to the nurses'station D．Roommates have similar behavioral responses
单选题A client with a myocardial infarction (MI) develops pulmonary crackles and dyspnea. A chest X-ray shows evidence of pulmonary edema. The specific type of MI the client had is most probably A. anterior. B. posterior. C. lateral. D. inferior.
单选题A mother brings her 15-month-old male child to the ambulatory care clinic for well-child care. He's crying and pulling at his left ear, which appears erythematous. Which of the following actions should the nurse take first? A. Ask the mother to leave the room because her anxiety is increasing the child's distress. B. Examine the ear with the child supine because this aids visualization of the tympanic membrane. C. Examine the affected ear last in order to minimize distress early in the examination. D. Examine the left ear first in order to assess what may be physically wrong with the child.