单选题After taking glipizide (Glucotrol) for 9 months, a client experiences secondary failure. Which of the following would the nurse expect the physician to do? A. Initiate insulin therapy. B. Switch the client to a different oral antidiabetic agent. C. Prescribe an additional oral antidiabetic agent. D. Restrict carbohydrate intake to less than 30% of the total caloric intake.
单选题The nurse teaches the client with peptic ulcer disease about how to effectively adjust his response to work-related stress. Which of the following statements by the client indicates that the education is effective
单选题Which of the following is least likely to make a suicide attempt? A．The patient with a history of suicide attempts B．Members of the patient's family having a history of suicide attempts C．Patients who obsessively fear that they will commit suicide D．Patients who write suicide notes
单选题The nurse is assessing a pregnant woman in the clinic. In the course of the assessment, the nurse learns that this woman smokes one pack of cigarettes per day. The first step the nurse should take to help the woman stop smoking is to A. assess the client's readiness to stop. B. suggest that the client reduce the daily number of cigarettes smoked by one-half. C. provide the client with the telephone number of a formal smoking cessation program. D. help the client develop a plan to stop.
单选题When teaching the parents of a toddler with a congenital heart defect, the nurse should explain all medical treatments and should emphasize which instruction about their child
单选题When a client experiences a loss of vibratory sense on examination, this indicates
单选题A 2-year-old client returns from surgery after a bowel resection as a result of Hirschsprung's disease. A temporary colostomy is in place. Which immediate postoperative nursing intervention takes priority? A. Changing the surgical dressing. B. Suctioning the nasopharynx frequently to remove secretions. C. Irrigating the colostomy with 100 ml of normal saline solution. D. Auscultating lung sounds.
单选题Which of the following situations is more likely to predispose a client to postpartum hemorrhage? A. Birth of a 7 lb (3,175g) infant. B. Prolonged first stage of labor. C. Pregnancy-induced hypertension (PIH). D. Birth of twins.
单选题The nurse is caring for a client who is experiencing sinus bradycardia with a pulse rate of 40 beats/minute. His blood pressure is 80/50 mmHg and he complains of dizziness. Which medication would be used to treat his bradycardia? A. Atropine. B. Dobutamine (Dobutrex). C. Bretylium (Bretylol). D. Lidocaine (Xylocaine).
单选题Which of the following nursing measures would be most important to decrease the risk of a surgical wound infection in a client with an internal fixation and hip pinning? A. Inserting an indwelling urinary catheter to prevent possible soiling of the dressing. B. Accurately measuring drainage from the surgical drainage tube. C. Changing the surgical dressings using strict sterile technique. D. Monitoring the incision for signs of redness, swelling, and warmth.
单选题Which of the following functions would the nurse expect to be unrelated to the placenta? A. Production of estrogen and progesterone. B. Detoxification of some drugs and chemicals. C. Exchange site for food, gases, and waste. D. Production of maternal antibodies.
单选题When planning activities for a withdrawn, hallucinatory client, the nurse should recognize that it would be most therapeutic for the client to A．Go for a walk with the nurse B．Watch a movie with other clients C．Play cards with a group of clients D．Play solitaire alone in the dayroom
单选题What is the normal pH range for arterial blood? A. 7.00 to 7.49. B. 7.35 to 7.45. C. 7.50 to 7.60. D. 7.55 to 7.65.
单选题According to Kohlberg, postconventional morality involves A．Unquestioning obedience to authority figures B．Affirmation of self-defined ethical principles C．Strong concern for social approval D．Behavior based on self-interest
单选题Which of the following nursing diagnoses would be most appropriate for a client newly diagnosed with non-insulin-dependent diabetes mellitus? A. Risk for infection related to newly diagnosed diabetes. B. Altered nutrition, more than body requirements related to overproduction of insulin. C. Altered health maintenance related to lack of knowledge of proper foot care. D. Pain related to elevated blood glucose levels.
单选题A 68-year-old woman is admitted to the general surgical unit for removal of a breast mass malignancy. In the presurgical assessment of the client, which of the following choices would be most appropriate for the nurse to ask when assessing her self-concept? A. "Let's talk about what you'd like to do that you haven't done. " B. "List for me your accomplishments and achievements in life. " C. "Tell me how this breast surgery will make you feel about yourself. " D. "What does your husband say when he compliments you?/
单选题A 78-year-old client with sensorineural hearing loss is admitted to a rehabilitation center after hip replacement surgery. A risk factor for this client would be A. altered perceptions. B. toxic levels of pain medication. C. impaired cognitive function. D. impaired sense of time.
单选题The nurse is caring for a client who underwent a subtotal gastrectomy. To manage dumping syndrome, the nurse should advise the client to A. restrict fluid intake to 1 qt (1,000 mL)/day. B. drink liquids only with meals. C. don't drink liquids 2 hours before meals. D. drink liquids only between meals.
单选题The nurse is caring for a client undergoing IV antibiotic therapy with gentamicin sulfate. Which of the following interventions is most important（）
单选题An assisted birth using forceps or a vacuum extractor may be performed for ineffective pushing, for large neonates, to shorten the second stage of labor, or for a malpresentation. When caring for the mother following an assisted birth, the nurse should keep which of the following in mind? A. A vacuum extractor is safer than forceps because it causes less trauma to the neonate and the mother's perineum. B. The neonate will develop a cephalohematoma as a result of the instrumentation. C. The use of instruments during the birth process is a fairly rare occurrence. D. Additional nursing interventions are needed to ensure an uncomplicated postpartum.