单选题In the management planning of a patient with a delusional disorder, the nursing goals would include that the patient will A．Develop a trusting relationship with the nurse B．Decrease the frequency of delusional content in his speech C．Ingest medications and nutrition and socialize with the nurse and others D．All of the above
单选题A client, a gravida 3 para 2 at 35 weeks' gestation, comes in to the antepartum clinic for a check-up. She has been experiencing backaches after standing all day at her job as a grocery clerk. Which of the following exercise would the nurse suggest to relieve backache? A. The pelvic tilt. B. Squatting. C. Stretching. D. Walking.
单选题A client is taking spironolactone (Aldactone) to control her hypertension. Her serum potassium level is 6 mEq/L. For this client, the nurse’s priority would be to assess her（）
单选题The nurse is evaluating a client's lung sounds. Which of the following breath sounds indicate adequate ventilation when auscultated over the lung fields? A. Vesicular. B. Bronchial. C. Bronchovesicular. D. Adventitious.
单选题Mark is a boy who is afraid of a lot of things. One day, his mather calls the community mental health clinic and tells the nurse that Mark has suddenly become terrified of getting into the family car, refuses to do so, and is in the yard screaming uncontrollably. what would it be BEST for the nurse to tell Ms. Levine to do FIRST? A．Hold Mark snugly and talk softly to him B．Give Mark a warm bath and put him to bed C．Bring Mark to the clinic as soon as possible D．Remind Mark that he has never before been afraid of automobiles
单选题The nurse is caring for a client who complains of lower back pain. Which instructions should the nurse give to this client to prevent back injury? A. Bend over the object you're lifting. B. Narrow the stance when lifting. C. Push or puI1 an object using your arms. D. Stand close to the object you're lifting.
单选题To obtain a good monitor tracing on a client in labor, the mother lies on her back. Suddenly, she complains of feeling light-headed and becomes diaphoretic. Which of the following should be the nurse's first action? A. Reposition the client to her left side. B. Immediately take the client's blood pressure and call the physician. C. Start oxygen at 6 L via nasal cannula. D. Increase the IV fluids to correct the client's dehydration.
单选题When reporting to the surgeon that a chest tube is malfunctioning, the nurse is ordered to reposition the tube and obtain a chest radiograph. The nurse should A. inform the surgeon this isn't within her scope of practice. B. report the surgeon to the Ethics Committee. C. report the surgeon to the nursing supervisor. D. follow the order as requested by the surgeon.
单选题The nurse is caring for a client with an exacerbation of ulcerative colitis. Which of the following nursing measures should be included in the plan of care? A. Encourage regular use of antidiarrheal medications. B. Incorporate frequent rest periods into the client's schedule. C. Have the client maintain a high-fiber diet. D. Wear a gown when providing direct client care.
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. Carefully titrating the oxytocin based on her pattern of labor. B. Monitoring vital signs, including assessment of fetal well-being, every 15 to 30 minutes. C. Allowing the client to ambulate as tolerated. D. Helping the client use breathing exercises to manage her contractions.
单选题As part of the respiratory assessment, the nurse observes the neonate's nares for patency and mucus. Which of the following is the reason that the nurse employs this assessment
单选题The nurse is caring for a client who has a history of alcohol abuse.
Why would the client act as if he didn't have a problem?
A. The client has never taken the CAGE questionnaire.
B. Denial is a defense mechanism commonly used by alcoholics.
C. Thought processes are distorted.
D. Alcohol is expensive.
单选题The nurse is caring for a client with mild active bleeding from placenta previa. Which of the following observations indicates that an emergency cesarean section may be necessary? A. Increased maternal blood pressure of 150/90 mmHg. B. Decreased amount of vaginal bleeding. C. Fetal heart rate of 80 beats per minute. D. Maternal heart rate of 65 beats per minute.
单选题What should the nurse's reaction be to a manic patient's loud jokes and crude pranks? She should A．React with studied prudishness B．Chastise the patient C．Put restraints on the patient D．React with silence, ignoring it
单选题The client is taking lithium (Lithobid). Which instruct should the nurse give to the client
单选题A client is admitted to the hospital in the manic phase of bipolar disorder. When placing a diet order for the client, which foods would be most appropriate? A. A bowl of soup, crackers, and a dish of peaches. B. A cheese sandwich, carrot sticks, fresh grapes, and cookies. C. Roast chicken, mashed potatoes, and peas. D. A tuna sandwich, an apple, and a dish of ice cream.
单选题One day after an appendectomy, a 9-year-old rates his pain at 4 out of 5 on the pain scale but is playing video games and laughing with his friend. Which of the following would the nurse document on the child's chart? A. The child is in no apparent distress, and no pain medication is needed at this time. B. The child rates pain at 4 out of 5. Pain medication administered as prescribed. C. The child doesn't understand the pain scale. Performed teaching to help child match his pain rating to how he appears to be feeling. D. The child rates his pain at 4 out of 5; however, he appears to be in no distress. Reassess when he's visibly showing signs of pain.
单选题Which of the following signs and symptoms is classic for a patient with rheumatoid arthritis? A. Joint swelling, joint stiffness in the morning, and bilateral joint involvement. B. Crepitus, development of Heberden's nodes, and anemia. C. Pain on weight-bearing, rash, and low-grade fever. D. Fatigue, leukopenia, and joint pain.
单选题The defense mechanism commonly used by clients who are drug addiction is A．Denial B．Projection C．Displacement D．Compensation
单选题After teaching the mother about tests performed to monitor the success of the infant's treatment for congenital hypothyroidism, the nurse would determine that the teaching was effective when the mother states that the child will need frequent blood tests and regular assessment of which of the following? A. Blood electrolyte levels. B. Metabolic rate. C. Muscular coordination. D. Bone age.