单选题The nurse is teaching the client how to use a cane. Which of the following statements is most inaccurate? A. The client should hold the cane on the involved side. B. The client should hold the cane close to his body. C. The stride length and the timing of each step should be equal. D. The nurse should stand behind the client to prevent falls.
单选题The client with a head injury receives mannitol (Osmitrol) during surgery to help decrease intracranial pressure. Which of the following nursing observations would most likely indicate that the drug is having the desired effect? A. Urine output increases. B. Pulse rate decreases. C. Blood pressure decreases. D. Muscular relaxation increases.
单选题A client diagnosed as having panic disorder with agoraphobia is
admitted to the inpatient psychiatric unit. Until her admission, she had been a
virtual prisoner in her home for 5 weeks, afraid to go outside even to buy food.
Which of the following should be the nurse's overall goal of care?
A. To help the client perform self-care activities.
B. To help the client function effectively in her environment.
C. To help control the client's symptoms.
D. To help the client participate in group therapy.
单选题Directions. The question below is followed by six choices numbered 260-265. If a choice is correct, mark A in the space provided. If a choice is not correct, mark B. Blacken one circle on your answer sheet for each number. While providing care to a 26-year-old married female, the nurse notes multiple ecchymotic areas on her arms and trunk. The color of the ecchymotic areas ranges from blue to purple to yellow. When asked by the nurse how she got these bruises, the client responds, "Oh, I tripped. " How should the nurse respond?
单选题A 26-year-old primigravida is in labor. Her cervix is 5 cm dilated and 75% effaced; the fetus is at 0 station. The client requests medication to relieve the discomfort of contractions, and the physician prescribes an epidural regional block. What position should the nurse help the client to assume when the epidural is administered? A. Lithotomy. B. Supine. C. Prone. D. Lateral.
单选题A patient who is admitted for treatment of an eating disorder displays controlling behaviors, takes responsibility for others' actions, and has difficulty identifying feelings. These manifestations suggest A. dependency. B. manipulation. C. learned helplessness. D. codependency.
单选题Following an earthquake, a client who was rescued from a collapsed building is seen in the emergency department. He has blunt trauma to the thorax and abdomen. Which nursing observation most suggests the client is bleeding? A. Prolonged partial thromboplastin time (PTT). B. Recent history of warfarin (Coumadin) usage. C. Diminished breath sounds. D. Orthostatic hypotension.
单选题When caring for a client with the nursing diagnosis Impaired swallowing related to neuromuscular impairment, the nurse should A. position the client in a supine position. B. elevate the head of the bed 90 degrees during meals. C. encourage the client to remove dentures. D. encourage thin liquids for dietary intake.
单选题The nurse is teaching a new group of mental health aides. The nurse should teach the aides that setting limits is most important for A. a depressed client. B. a manic client. C. a suicidal client. D. an anxious client.
单选题Mrs. S with preterm labor will be under Terbutaline (Brethine) therapy. Before beginning the therapy, which of the following assessments would be most important
单选题Which one of the following type of PD has a high incidence of suicide? A．Antisocial personality disorder B．Bordline personality disorder C．Paranoid personality disorder D．Schizotypal personality disorder
单选题The nurse is assessing a 71-year-old female client with ulcerative colitis. Which assessment finding related to the family will have the greatest impact on the client's rehabilitation after discharge? A. The family's ability to take care of the client's special diet needs. B. The family's expectation that the client will resume responsibilities and role-related activities. C. Emotional support from the family. D. The family's ability to understand the ups and downs of the illness.
单选题An elderly client's family tells the nurse that the client has suffered
some memory loss in the last few years. They say that the client is sensitive
about not being able to remember and tries to cover up this loss to avoid
embarrassment. When attempting to increase the client's self-esteem, the nurse
should try to avoid discussing events that require memory of the client's
A.Married
B.Work years
C.Recent days
D.Young adulthood
单选题A client is admitted for an overdose of amphetamines. When assessing this client, the nurse should expect to have which of the following findings
单选题Which of the following activities should a 2-year-old child to be able to do()
单选题When planning care for a 72-year-old client who has been admitted to the hospital because of bizarre behavior, forgetfulness, and confusion, the nurse should give priority to A．Preserving the dignity of the client B．Promoting a structured environment C．Limiting the acceleration of symptomatology D．Determining or ruling out an organic etiology
单选题In teaching a female client who is HIV-positive about pregnancy, the nurse would know more teaching is necessary when the client says, A. "The baby can get the virus from my placenta. " B. "I'm planning on starting on birth control pills. " C. "Not everyone who has the virus gives birth to a baby who has the virus. " D. "I'll need to have a C-section if I become pregnant and have a baby. /
单选题A client is admitted to the emergency department with a suspected overdose of an unknown drug. The client's arterial blood gas values indicate respiratory acidosis. What should the nurse do first
单选题A client with intrauterine growth retardation is admitted to the labor
and delivery unit and started on an IV infusion of oxytocin (Pitocin). Which of
the following is LEAST likely to be included in her plan of care?
A. Monitoring vital signs, including assessment of fetal well-being, every
15 to 30 minutes.
B. Allowing the client to ambulate as tolerated.
C. Helping the client use breathing exercises to manage her
contractions.
D. Carefully titrating the oxytocin based on her pattern of labor.
单选题The nurse is giving home care instructions to a client who just had a cataract removed and an intraocular lens implanted. What should the nurse tell the client? A. Don't sleep on the operated side. B. Wear the eye shield continuously for 2 weeks. C. Aspirin may be taken for mild pain. D. Straining during bowel movements is allowed.