单选题An adolesent who is extremely underweight talks constantly about being fat, refuse to eat hardly any food, and disppears into the bathroom after meals, angrily says to the nurse, "I don't need to be here. I don't have any problems. Stop watching me. " To reduce the client's feeling of being threatened, the nurse would be most therapeutic by responding A．"I hear how frustrated you are to be here. " B．"If you do not follow the rules you will lose your privileges. " C．"Your feeling are part of your illness. You will feel different. " D．"1'11 get you the medication your physician ordered for anxiety. /
单选题Which of the following would the nurse expect to include in the plan of care for a client with diabetes who is in labor? A. Measuring urine output every 4 hours. B. Monitoring blood glucose levels every hour. C. Administering insulin subcutaneously every 4 hours. D. Checking deep tendon reflexes every 2 hours.
单选题Which of the following would be least likely to indicate anticipated bonding behaviors by new parents? A. The parents' willingness to touch and hold the neonate. B. The parents' expression of interest about the size of the neonate. C. The parents' indication that they want to see the neonate. D. The parents' interactions with each other.
单选题A client with left-sided heart failure complains of increasing shortness of breath and is agitated and coughing up pink-tinged, foamy sputum. The nurse should recognize these as signs and symptoms of A. right-sided heart failure. B. acute pulmonary edema. C. pneumonia. D. cardiogenic shock.
单选题While evaluating the needs of a client during the second trimester, the nurse can anticipate which of the following（）
单选题The nurse is developing a plan of care for a client with iron-deficiency anemia. Which of the following would be an appropriate nursing diagnosis of the client? A. Excess fluid volume related to anemia. B. Imbalanced nutrition related to nausea. C. Activity intolerance related to fatigue. D. Impaired home maintenance related to neurological impairment.
单选题Thenurseiscaringfora-year-oldmaleclientwithtetralogyofFallot.Whichassessmentfindingsshouldthenurseexpect?A.Aorticstenosis,atrialseptaldefect,overridingaorta,leftventricularhypertrophy.B.Pulmonaryarterystenosis,intraventricularseptaldefect,overridingaorta,rightventricularhypertrophy.C.Pulmonaryarterystenosis,patentductusarteriosus,overridingaorta,rightventricularhypertrophy.D.Transpositionofthegreatvessels,intraventricularseptaldefect,rightventricularhypertrophy,patentductusarteriosus.
单选题When helping the client who has had a cerebrovascular accident (CVA) learn self-care skills, the nurse should use which of the following interventions to help him learn to dress himself? A. Encourage the client to wear clothing designed especially for people who have had a CVA. B. Dress the client, explaining each step of the process as it is completed. C. Teach the client to put on clothing on the affected side first. D. Encourage the client to ask his wife for help when dressing.
单选题The nurse is administering neostigmine to a client with myasthenia gravis. Which nursing intervention should the nurse implement? A. Give the medication on an empty stomach. B. Warn the client that he'll experience mouth dryness. C. Schedule the medication before meals. D. Administer the medication for complaints of muscle weakness or difficulty swallowing.
单选题A client is brought to the hospital after vomiting bright red blood and is admitted through the emergency department with a diagnosis of bleeding duodenal ulcer. While the client is bleeding, it will be essential for the nurse to assess frequently for signs of early shock. Which one of the following is an important indicator of early shock? A. Tachycardia. B. Dry, flushed skin. C. Increased urine output. D. Loss of consciousness.
单选题A woman in labor shouts to the nurse, "My baby is coming right now! I feel like I have to push!" An immediate nursing assessment reveals that the head of the fetus is crowning. After asking another staff member to notify the physician and setting up for delivery, which nursing intervention is most appropriate? A. Gently pulling at the neonate's head as it's delivered. B. Holding the neonate's head back until the physician arrives. C. Applying gentle pressure to the neonate's head as it's delivered. D. Placing the mother in a Trendelenburg position until the physician arrives.
单选题A child, age 5, with an IQ of 65 is admitted to the hospital for evaluation. When planning care, the nurse should keep in mind that this child is A. within the lower range of normal intelligence. B. mildly retarded but educable. C. moderately retarded but trainable. D. completely dependent on others for care.
单选题A client is scheduled to have a descending colostomy. He's very anxious and has many questions concerning the surgical procedure, care of a stoma, and lifestyle changes. It would be most appropriate for the nurse to make a referral to which member of the health care team? A. Social worker. B. Registered dietitian. C. Occupational therapist. D. Enterostomal nurse therapist.
单选题A male client with a total hip replacement is progressing well and expects to be discharged tomorrow. On returning to bed after ambulating, he complains of severe pain in the surgical wound. Which action should the nurse take（）
单选题A client with a seizure disorder has been prescribed phenytoin
(Dilantin). Which of the following should the nurse include in the teaching
plan?
A. It will be necessary for the client to take potassium supplements to
prevent hypokalemia.
B. The client should use a soft toothbrush and floss teeth daily.
C. The use of phenytoin can lead to the development of diabetes.
D. It is appropriate to substitute various brands of phenytoin as long as
the dosage is the same.
单选题Which outcome would indicate successful treatment of diabetes insipidus? A. Fluid intake of less than 2,500 mL in 24 hours. B. Urine output of more than 200 mL/hour. C. Blood pressure of 90/50 mmHg. D. Pulse rate of 126 beats/minute.
单选题A client is diagnosed with hyperthyroidism. The nurse should expect clinical manifestations similar to
单选题A client with an incomplete small bowel obstruction is to be treated with a Cantor tube. Which of the following measures would most likely be included in the client's care once the Cantor tube has passed into the duodenum? A. Maintain bed rest with bathroom privileges. B. Advance the tube 2 to 4 inches at specified times. C. Provide frequent mouth care. D. Provide ice chips for the client to suck.
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? A. "You need to do more arm exercises. It sounds like your muscles need strengthening. " B. "That's normal. As you adjust to the crutches, the discomfort will diminish. " C. "Be sure to take your pain medication before ambulating. That will help your discomfort. " D. "Let me watch you ambulate. Your crutches or technique may need some adjustment. /
单选题A client is experiencing an early postpartum hemorrhage. Which action is inappropriate