单选题A client seeks care for low back pain of 2 weeks' duration. Which assessment finding suggests a herniated intervertebral disk? A. Pain that radiates down the posterior thigh. B. Back pain when the knees are flexed. C. Atrophy of the lower leg muscles. D. Positive Homans' sign.
单选题The nurse is caring for a client with diabetes mellitus. When teaching the client about foot care, which instruction should the nurse provide? A. Examine feet once per week for redness, blisters, and abrasions. B. Apply lotion to dry feet, especially between the toes. C. Avoid hot-water bottles and heating pads. D. Dry feet vigorously after each bath.
单选题The client is advised by the physician to have mammography screening annually. Which of the following is the best measure to improve adherence with mammography screening? A. Making sure that the individual barriers to screening are minimized. B. Emphasizing that mammography screening can prevent breast cancer. C. Emphasizing that mammography screening is a low-cost approach to cancer prevention. D. Informing the client that she is at high risk for breast cancer and needs to follow the physician's recommendation.
单选题A client with hypotonic labor dysfunction is receiving oxytoein augmentation. Her contractions become more frequent and intense. Dilation progresses to 8 cm, but the fetal head remains at station +1. The nurse notes a soft bulge just above the symphysis. Which of the following actions is best? A. Re-evaluate the fetal presentation. B. Change the client's position. C. Offer a narcotic analgesic. D. Help the client urinate.
单选题While auscultating heart sounds of a client with heart failure, the nurse hears an extra heart sound immediately after the second heart sound (S2). The nurse should document this as （）.
单选题The client asks when he can stop taking the eye medication for his
chronic open-angle glaucoma. Which would be the nurse's best response?
A. "You can stop using the eye drops when your vision improves. "
B. "You Need to use the eye drops only when you has symptoms. "
C. "You can discontinue the eye drops after 2 months of normal eye
examinations. "
D. "You must use the eye medication for the rest of his life. "
单选题The nurse is administering sublingual nitroglycerin to a client with chest pain. The nurse should place the medication （）.
单选题The nurse may best assist an abusing parent to alter behavior toward an abused 2-year-old child by helping the client to A．Learn what behavior is appropriate for a 2-year-old child B．Learn appropriate ways of punishing the child's inappropriate behavior C．Identify the specific ways in which the child's behavior provokes frustration D．Ignore the child's negative, nondestructive behavior and support acceptable behavior
单选题A psychotic client reports to the evening nurse that the day nurse put
something suspicious in his water with his medication. The nurse replies,
"You're worried about your medication?" The nurse's communication is
A. an example of presenting reality.
B. reinforcing the client's delusions.
C. focusing on emotional content.
D. a nontherapeutic technique called mind reading.
单选题If you are involved in the terminal weaning of a patient, you will want to do all of the following except A．Participate in the decision-making process by offering the family information about the advantages and disadvantages of continued ventilatory support B．Explain to the family what will happen at each phase of the weaning and offer support C．Check the orders for sedation and analgesia and make sure that the anticipated death is comfortable and dignified D．Tell the family that death will occur almost immediately after the patient is removed from the ventilator
单选题For a client with suspected increased intracranial pressure (ICP), a most appropriate respiratory goal is to A. prevent respiratory alkalosis. B. lower arterial pH. C. promote carbon dioxide elimination. D. maintain partial pressure of arterial oxygen (PaO2) above 80 mmHg.
单选题After striking his head on a tree while falling from a ladder, a young man is admitted to the emergency department. He's unconscious and his pupils are nonreactive. Which intervention would be the most dangerous for the client? A. Give him a barbiturate. B. Place him on mechanical ventilation. C. Perform a lumbar puncture. D. Elevate the head of his bed.
单选题Which of the following describes how the nurse interprets a neonate's Apgar score of 8 at 5 minutes? A. A neonate who is in good condition. B. A neonate who is mildly depressed. C. A neonate who is moderately depressed. D. A neonate who needs additional oxygen to improve the Apgar score.
单选题Which behavior would cause the nurse to suspect that a client's labor is moving quickly and that the physician should be notified? A. An increased sense of rectal pressure. B. A decrease in intensity of contractions. C. An increase in fetal heart rate variability. D. Episodes of nausea and vomiting.
单选题An adolescent girl who is receiving chemotherapy for leukemia is admitted for pneumonia. The adolescent's platelet count is 50,000 μL. Which of the following would be inappropriate to include in the plan of care
单选题A 58-year-old client complaining of difficulty driving at night states that the "lights bother my eyes" even though he wears corrective glasses. The nurse would suspect that the client is experiencing a deficiency in which of the following vitamins? A. Vitamin Ａ. B. Vitamin Ｂ complex. C. Vitamin Ｅ. D. Vitamin Ｃ.
单选题The nurse is teaching a client who is 28 weeks pregnant and has gestational diabetes how to control her blood glucose levels. Diet therapy alone has been unsuccessful in controlling her blood glucose levels, so she has started insulin therapy. The nurse should consider the teaching effective when the client says A. "I won't use insulin if I'm sick. " B. "I need to use insulin each day. " C. "If I give myself an insulin injection, I don't need to watch what I eat. " D. "I'll monitor my blood glucose levels twice a week. /
单选题A client with a diagnosis of a bleeding gastric ulcer goes to the operating room for a partial gastrectomy. Postoperative nursing care would include A. administering pain medications every 6 hours. B. withholding fluids by mouth until the return of peristalsis. C. positioning the client in high Fowler position. D. flushing the nasogastric (NG) tube with sterile water.
单选题Which action should the nurse include in a plan of care for a client with a fiberglass cast on the right arm? A. Keep the casted arm warm with a light blanket. B. Avoid handling the cast for 24 hours or until dry. C. Assess pedal and posterior tibial pulses every 2 hours. D. Assess movement and sensation in the fingers of the right hand.
单选题The nurse is providing care for an immobilized client. For this client,
the most appropriate and most effective nursing intervention would be
A. getting the client out of bed and into a chair for 30 minutes, twice
daily.
B. avoiding repositioning the client if he's comfortable.
C. repositioning the client on alternate sides at least every 2 hours.
D. positioning the client with the greatest pressure at the bony
prominence.