单选题A client hospitalized with pneumonia has thick, tenacious secretions. To help liquefy these secretions, the nurse should （）.
单选题A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client? A. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) test annually. B. The most common treatment is metronidazole (Flagyl), which should eradicate the problem within 7 to 10 days. C. The potential for transmission to her sexual partner will be eliminated if condoms are used every time they have sexual intercourse. D. The human papillomavirus (HPV), which causes condylomata aeuminata, can't be transmitted during oral sex.
单选题While caring for the client with a burn injury, the nurse should observe for signs and symptoms of which complication believed to be due primarily to hypersecretion of gastric acid? A. Paralytic ileus. B. Gastric distention. C. Hiatal hernia. D. Gastrointestinal ulceration.
单选题A client with stress incontinence asks the nurse what kind of diet she should follow at home. Which of the following diet regime would most likely be recommended by the nurse
单选题An 8-year-old child enters a health care facility. During assessment, the nurse discovers that the child is experiencing the anxiety of separation from his parents. The nurse makes the nursing diagnosis of Fear related to separation from familiar environment and family. Which nursing intervention is most likely to help the child cope with fear and separation? A. Ask the parents not to visit the child until he has adjusted to the new environment. B. Ask the physician to explain to the child why he needs to stay in the health care facility. C. Explain to the child that he must act like an adult while he's in the facility. D. Have the parents stay with the child and participate in his care.
单选题The nurse is caring for an elderly female with osteoporosis. When teaching the client, the nurse should include information about which major complication? A. Bone fracture. B. Loss of estrogen. C. Negative calcium balance. D. Dowager's hump.
单选题When working in a psychiatric setting, it is imperative that the nurse prevent clients from A．Breaking contracts B．Using delusional thinking C．Harming themselves or others D．Increasing hallucinatory behaviors
单选题The client with a total laryngectomy receives tube feedings to meet his fluid and nutrition needs. The nurse explains to the client that the purpose of the tube feedings is to A. prevent pain from swallowing. B. prevent fistula development. C. ensure adequate intake. D. allow for adequate suture line healing.
单选题A 28-year-old nurse has complaints of itching and a rash of both hands. Contact dermatitis is initially suspected. The diagnosis is confirmed if the rash appears A. erythematous with raised papules. B. dry and scaly with flaking skin. C. inflamed with weeping and crusting lesions. D. excoriated with multiple fissures.
单选题When teaching the mother of a 17-month-old about toilet training, which instruction would initially be most appropriate? A. Place the toddler on the potty chair every 2 hours for t0 minutes. B. Offer a reward every time the child has a bowel movement in the potty chair. C. Remove the diaper and use training pants to begin the process. D. Be sure the child is ready before starting to toilet train.
单选题The parents of a male adolescent diagnosed with anorexia nervosa ask the nurse how long their son's treatment will take. The most therapeutic response by the nurse would be A．"Treatment of anorexia nervosa takes a long time and setbacks are common. " B．"Most anorectic adolescents respond favorably to treatment within a few weeks. " C．"Your son's prognosis depends on your willingness to become involved in therapy. " D．"Your son's progress depends on determining what triggered his desire to lose weight. /
单选题When the nurse is communicating with a client with substance-induced persisting dementia, the client cannot remember facts and fills in the facts with imaginary information. The nurse is aware that this is typical of A．Concretism B．Confabulation C．Flight of ideas D．Associative looseness
单选题When the client says, "I met Joe at the dance last week," what is the best way for the nurse to ask the client to describe her relationship with Joe? A．"Joe who?" B．"Tell me about Joe. " C．"Tell me about you and Joe. " D．"Joe, you mean that blond guy with the dark blue eyes?/
单选题A client with coronary artery disease reports intermittent chest pain that occurs with exertion. The physician prescribes sublingual nitroglycerin. When teaching the client about nitroglycerin administration, the nurse should include which instruction ？（）
单选题A client who is 7 months pregnant reports severe leg cramps at night. Which nursing action would be most effective in helping her cope with these cramps? A. Suggesting that she walk for 1 hour twice per day. B. Advising her to take over-the-counter calcium supplements twice per day. C. Teaching her to dorsiflex her foot during the cramp. D. Instructing her to increase milk and cheese intake to 8 to 10 servings per day.
单选题A 10-month-old girl with bronchitis is taken out of the 30% oxygen tent for breakfast because she refuses to eat unless in a high chair. During the feeding, the nurse notes that the child's respiratory rate has increased, she is becoming more irritable, and she is using accessory muscles to breathe. Which of the following should be the nurse's first action? A. Perform postural drainage then complete the feeding. B. Suction the child's nose with a bulb syringe. C. Discontinue the feeding and place the child back in the tent. D. Assess the pulse rate and respirations and notify the physician.
单选题A client undergoes extracorporeal shock wave lithotripsy (ESWL) to break up and remove renal calculi. Which of the following nursing measures is appropriate for the postoperative care of this client? A. Maintain client on strict bed rest for 48 hours after the procedure. B. Instruct client to anticipate a decrease in urinary output. C. Instruct client to anticipate hematuria for about 24 hours after the procedure. D. Limit fluid intake to 1000 mL/day until all stone fragments have been passed.
单选题The nurse is teaching parents how to reduce the spread of impetigo. The nurse should encourage parents to A. teach children to cover mouths and noses when they sneeze. B. have their children immunized against impetigo. C. teach children the importance of proper hand washing. D. isolate the child with impetigo from other members of the family.
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? A. Using crutches properly. B. Exercising joints above and below the cast, as ordered. C. Avoiding walking on a leg cast without the physician's permission. D. Reporting signs of impaired circulation.
单选题The nurse is planning care for a client after a tracheostomy. One of the client's goals is to overcome verbal communication impairment. Which of the following interventions should the nurse include in the care plan? A. Make an effort to read the client's lips to foster communication. B. Encourage the client's communication attempts by allowing him time to select or write words. C. Answer questions for the client to reduce his frustration. D. Avoid using a tracheostomy plug because it blocks the airway.