单选题The nurse is caring for a toddler in respiratory arrest. The nurse will assist with endotracheal intubation and use an uncurled tube because the
单选题Which one of the following clients is at the greatest risk for aspiration? A. A stroke client with dysarthria. B. An ambulatory client with Alzheimer's disease. C. A 92-year-old client who needs help with activities of daily living (ADLs). D. A client with severe, deforming rheumatoid arthritis.
单选题The family of a patient who has just died requests to be alone with the body and asks for supplies to wash the body. You know that the mortician usually washes the body. Your best response is A．Inform the family that there is no need for them to wash the body since the mortician does this B．Explain that hospital policy forbids their being alone with the deceased patient and that hospital supplies are only to be used by hospital personnel C．Give the supplies but watch the family so that nothing unusual happens D．Provide the requested supplies and ask if this request is linked to their religious or cultural customs and if there is anything else you can do to be of assistance
单选题Which of the following would the nurse do for a 4-year-old girl who has just had a lumbar puncture
单选题The client was admitted with severe head injury resulting from a motor
vehicle accident. The client is presently unconscious. To facilitate
rehabilitation when the client's condition allows, the nurse should
A. maintain limbs in the position of function.
B. apply restraints to arms and legs to control spasms.
C. exercise just the arms as the legs maintain their tone longer.
D. notify physical therapy as soon as the physician orders passive range of
motion.
单选题Which finding is considered normal in a neonate during the first few days after birth? A. Weight loss of 25%. B. Birth weight of 2,000 to 2,500 g. C. Weight loss then return to birth weight. D. Weight gain of 25%.
单选题A hospitalized client craves a drink while withdrawing from alcohol. Which of the following measures is the best way to help the client resist the urge to drink? A. A routine search of visitors. B. A locked-door policy. C. One-to-one supervision by the staff. D. Support from other alcoholic clients.
单选题Which of the following case meets the criteria for involuntary commitment? A. A single parent who leaves her minor children unattended and stays out all night drinking. B. A person who lives alone and isn't able to care for himself and has schizophrenia with delusions of persecution. C. A man who threatens to kill his wife. D. A person with depression who says he's tired of living but doesn't have a suicide plan.
单选题Which of the following signs or symptoms would the nurse expect to see in a client with pancreatitis? A. Bradycardia. B. Hypertension. C. Decreased white blood cell count. D. Left upper quadrant abdominal pain.
单选题A 2-month-old neonate with diarrhea and vomiting has been receiving IV fluids for the past 24 hours. The specific gravity of the neonate's urine is 1.012. What should the nurse do next? A. Check the neonate's blood pressure. B. Check the specific gravity again as soon as possible. C. Notify the physician. D. Continue the ordered IV flow rate.
单选题A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client（）
单选题Whenassessinganinfantforchangesinintracranialpressure(ICP),it'simportanttopalpatethefontanels.Wherethenurseshouldpalpatetoassesstheanteriorfontanel?A.AB.BC.CD.D
单选题The nurse is aware that the major health complication associated with severe anorexia nervosa is A．Protein depletion resulting in muscle wasting B．Endocrine imbalance resulting in amenorrhea C．Glucose intolerance resulting in hypoglycemia D．Cardiac dysrhythmias resulting in cardiac arrest
单选题Which of the following activities should the nurse discourage the client with a peptic ulcer? A. Chewing gum. B. Smoking cigarettes. C. Eating chocolate. D. Taking acetaminophen (Tylenol).
单选题The client is taking triamcinolone acetonide (Azmacort) inhalant to treat her bronchial asthma. Which of the following conditions is the client at increased risk for developing while taking this medication
单选题The nurse is giving instructions to a client who is going home with a cast on his leg. Which point is most critical ？（）
单选题A client exhibits confusion and severe memory loss. At 11:30 AM, he tells the nurse that he is going to work and proceeds to walk toward the door. Which of the following actions should be the nurse take? A. Remind him that he retired from his job 10 years ago. B. Tell him that she'll accompany him for a short walk outdoors. C. Divert his attention toward the dining room where lunch is being served. D. Tell him that he does not have to go to work today.
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 ？（）
单选题The mother of a 1B-year-old girl calls the emergency department, suspecting her daughter's abdominal pain may be appendicitis. In addition to pain, her daughter has a fever of 100°F (37.8℃) and has vomited twice. What should the nurse tell the mother? A. Give the daughter a laxative to rule out the possibility that constipation is causing the pain. B. Gently press on the left lower quadrant of her daughter's abdomen to test for rebound tenderness. C. It's most likely the flu because her daughter is too young to have appendicitis. D. Immediately bring her daughter into the emergency department before the appendix has a chance to rupture.
单选题When planning care for a 7-year-old boy with Down syndrome, the nurse
should
A. plan interventions at the developmental level of a 7-year-old child
because that is the child's age.
B. plan interventions at the developmental level of a 5-year-old because the
child will have developmental delays.
C. assess the child's current developmental level and plan care
accordingly.
D. direct all teaching to the parents because the child can't
understand.