单选题A 49-year-old client with acute respiratory distress watches everything the staff does and demands full explanations for all procedures and medications. Which of the following actions would best indicate that the client has achieved an increased level of psychological comfort? A. Making decreased eye contact. B. Asking to see family members. C. Joking about the present condition. D. Sleeping undisturbed for 3 hours.
单选题The nurse is caring for a primigravida who is scheduled for a fetal acoustic stimulation test (FAST). The nurse should explain to the client that the primary purpose of this test is to A. induce contractions. B. induce fetal heart rate accelerations. C. shorten the contraction stress test. D. determine fluid volume.
单选题When assessing a preschooler who has sustained a head trauma, the nurse notes that the child appears to be obtunded. Which of the following denotes the child's level of consciousness? A. No motor or verbal response to noxious (painful) stimuli. B. Remains in a deep sleep; responsive only to vigorous and repeated stimulation. C. Can be aroused with stimulation. D. Limited spontaneous movement; sluggish speech.
单选题Otorrhea and rhinorrhea are most commonly seen with which type of skull fracture? A. Basilar. B. Temporal. C. Occipital. D. Parietal.
单选题The plan of care for a client with hypertension taking propranolol hydrochloride would include which of the following? A. Instructing the client to discontinue the drug if nausea occurs and to monitor blood pressure. B. Instructing the client to notify the physician of irregular or slowed pulse rate. C. Monitoring blood pressure every week and adjusting the medication dose accordingly. D. Measuring partial thromboplastin time weekly to evaluate blood clotting status.
单选题The parents of a 3-year-old boy call the clinic to report chickenpox. When teaching the parents about how to care for the lesions, the nurse would advise which of the following? A. Soak in a hot tub for 30 minutes three times a day. B. Take an antihistamine and use calamine lotion on the lesions. C. Take acetaminophen and use an antibiotic ointment on the lesions. D. Remove lesions crusts as they form.
单选题Promethazine hydrochloride (Phenergan) 35 mg IM is ordered for a client who is experiencing nausea and vomiting after surgery. The ampule's label reads 25 mg/mL. How many mL should the nurse prepare to administer? A. 0.7 mL. B. 1.0 mL. C. 1.4 mL. D. 1.8 mL.
单选题A school-aged child is admitted to the hospital with newly diagnosed, insulin-dependent diabetes mellitus. On admission his blood sugar is 180 mg/dL. His urine tests negative for ketones. He receives 10 units of regular humulin insulin subcutaneously half hour after admission. What should the nurse do next? A. Carefully regulate an intravenous solution of normal saline and insulin at 2. 5 hours after admission. B. Encourage the child to drink at least 500 mL of a sugar-free clear liquid 1.5 hours after admission. C. Begin intravenous administration of 5% dextrose in water 1 hour after admission. D. Assess the child 2. 5 hours after admission for shakiness, feelings of anxiety, or decreased level of consciousness.
单选题Opiate withdrawal causes severe physical discomfort and can be life-threatening. To minimize these effects, opiate users are commonly detoxified with which drug? A. Barbiturates. B. Amphetamines. C. Methadone. D. Benzodiazepines.
单选题Assertive behavior involves which of the following elements? A. Expressing an air of superiority. B. Saying what is on your mind at the expense of others. C. Avoiding unpleasant situations and circumstances. D. Standing up for your rights while respecting the rights of others.
单选题What activity orders would be appropriate for a client with an internal radium implant for cervical cancer
单选题Most antipsychotic medications exert which of the following effects on the central nervous system (CNS) ? A. Stimulate the CNS by blocking postsynaptic dopamine, norepinephrine, and serotonin receptors. B. Sedate the CNS by stimulating serotonin at the synaptic cleft. C. Depress the CNS by blocking the postsynaptic transmission of dopamine, serotonin, and norepinephrine. D. Depress the CNS by stimulating the release of acetylcholine.
单选题The nurse is changing the subclavian dressing over the catheter insertion site. Which one of the following actions would be appropriate for the nurse to incorporate into the dressing change? A. Place the client in high-Fowler's position. B. Check for tubing kinks and leakage. C. Cleanse the area, starting 2 inches from the insertion site and moving inward. D. Remove old ointment from the insertion site with soap and warm water.
单选题An elderly female client, who is quite confused and often does not recognize her children, is admitted to a nursing home. The client appears slovenly in attire, often soiling her clothing with feces and urine. The nurse can best manage this problem by A．Putting the client into orientation therapy B．Toileting the client at least once every 2 hours C．Supervising the client's bathroom activities closely D．Explaining to the client how offensive her behavior is to others
单选题Linda is a 19-year-old primipara who delivered a viable male neonate 2 hours ago. She has decided to breast-feed. Her 22-year-old husband supports her decision. She tells the nurse, "My mother breast-fed all of her children, but I'm going to need lots of help with breastfeeding. I'm worried that I won't be able to do this. " Which of the following should the nurse include when assessing the client? A. Determine the client's level of motivation to breast-feed. B. Perform a complete physical examination to determine her need for help. C. Assess her body-to-fat ratio and nutritional status before beginning breast-feeding. D. Ask the client if she has read any literature about breast-feeding.
单选题Which of the following indications is the primary use for electroconvulsive therapy (ECT) ? A. Severe agitation. B. Antisocial behavior. C. Noncompliance with treatment. D. Major depression with psychotic features.
单选题A 16-year-old student has been admitted to your psychiatric unit after fainting in physical education class. She has a diagnosis of anorexia nervosa, weighs 88 lb (40 kg), and is 5’4" (1.6 m) tall. She has been weighing herself several times per day at home and has lost 30 lb (13.5 kg) in the past 3 months. Which nursing diagnosis would be most appropriate for the client（）
单选题Lochia normally progresses in which pattern? A. Rubra, serosa, alba. B. Serosa, rubra, alba. C. Serosa, alba, rubra. D. Rubra, alba, serosa.
单选题The nurse is caring for a client with a fractured hip. The client is
combative and confused, and he's trying to get out of bed. The nurse should
A. leave the client and get help.
B. obtain a physician's order to restrain the client.
C. read the facility's policy on restraints.
D. order soft restraints from the storeroom.
单选题A female client is discharged from the hospital after having an episode of heart failure. She's prescribed daily oral doses of digoxin (Lanoxin) and furosemide (Lasix). Two days later, she tells her community health nurse that she feels weak and frequently feels her heart "flutter. " What action should the nurse take? A. Tell the client to rest more often. B. Tell the client to stop taking the digoxin, and call the physiciarn. C. Call the physician, report the symptoms, and request to draw a blood sample to determine the client's potassium level. D. Tell the client to avoid foods that contain caffeine.