单选题Which nursing action is most effective in defusing a client's impending violent behavior? A. Helping the client identify and express feelings of anxiety and anger. B. Involving the client in a quiet activity to divert attention. C. Leaving the client alone until he can talk about his feelings. D. Placing the client in seclusion.
单选题During a parenting group meeting, a mother reveals that she has observed her 6-year-old son playing with his penis during his bath. She asks the nurse how she should respond to the situation. What would be the nurse's most appropriate response? A. "Avoid characterizing it as bad because that's normal at his age. " B. "If he does it often, you might consider disciplining him. " C. "Ignore it and hope that he outgrows it. " D. "Supervise his baths and encourage him to stop doing it. /
单选题When a client experiences a loss of vibratory sense on examination,
this indicates
A. injury to the cranial nerves.
B. injury to the peripheral nerves.
C. intact cranial nerves.
D. intact peripheral nerves.
单选题During the assessment of a geriatric client, a nurse would expect which findings? A. Eye structure and visual acuity changes. B. Facial hair decreasing in a female client. C. Facial hair increasing in a male client. D. Wounds healing more quickly.
单选题With a tentative diagnosis of heroin addiction, the nurse should assess this recently hospitalized client for signs of opiate withdrawal. These signs would include A．Lacrimation, vomiting, drowsiness B．Nausea, dilated pupils, constipation C．Rhinorrhea, convulsions, subnormal temperature D．Muscle aches, diarrhoea, yawning
单选题A client has a boggy uterus during stage IV of her delivery. Four hours postpartum, the nurse is preparing to administer methylergonovine maleate (Methergine) 0.2mg PO as prescribed every 6 hours. The client's vital signs are; temperature, 100.4°F (38℃); pulse, 60 beats/minute; respirations, 14 breaths/minute; blood pressure, 140/90mmHg. Which is the most appropriate intervention? A. Immediately administer the drug. B. Administer the drug and call the physician. C. Administer the drug and recheek vital signs. D. Don't administer the drug.
单选题The nurse is preparing to discharge a child who has rheumatic fever. Which of the following medications is prescribed to prevent recurrence of rheumatic fever? A. Glucocorticoids. B. Digoxin. C. Antibiotics. D. Anti-inflammatory medications.
单选题When developing a plan of home care for the client with multiple sclerosis, the nurse should teach the client about which of the following complications most likely to occur
单选题A client with heart failure loses 3.2 kg while hospitalized.
Approximately how many pounds has the client lost?
A. 1 pound.
B. 3 pounds.
C. 5 pounds.
D. 7 pounds.
单选题The mother of a new-born asks the nurse how often she should breastfeed her baby. Which of the following responses by the nurse would be best? A. "Newborns should breastfed at least every 3 hours during the day. " B. "Newborns should be fed when they cry. " C. "As long as the baby feeds four times a day, he will get enough. " D. "Newborns may breastfeed continuously until they stabilize. /
单选题A client is prescribed Gentamycin (Garamycin) IV to treat infection. It is important to monitor the client for the development of which of the following side effects from the medication? A. Ascites. B. Confusion. C. Ototoxicity. D. Cardiac dysrhythmias.
单选题The nurse is caring for an elderly client who exhibits signs of dementia. The most common cause of dementia in an elderly client is A. delirium. B. depression. C. excessive drug use. D. Alzheimer's disease.
单选题To assess the client's dorsalis pedis pulse, the nurse should palpate the A. medial surface of the ankle. B. lateral surface of the ankle. C. ventral aspect of the top of the foot. D. medial aspect of the dorsum of the foot.
单选题When talking with one of the day nurses, a client with the diagnosis of anorexia nervosa states that the day nurses give better care and nicer than the night nurses. The client also asks a question that the day nurse is aware was answered by one of the night nurse. The nurse should recognize that the client A．Needs assistance in exploring and verbalizing feelings about the night nurses B．Is trying to develop a bond of trust with a staff member that should he supported C．Is attempting to divide the staff, and the behavior should be reported to the other staff members D．Has negative feelings about the night nurses, and the nurses should be informed of these feelings
单选题When teaching the parents of a toddler with a congenital heart defect, the nurse should explain all medical treatments and should emphasize which instruction about their child? A. Reduce the caloric intake to decrease cardiac demand. B. Relax discipline and limit setting to prevent crying. C. Avoid contact with small children to reduce overstimulation. D. Try to maintain the usual lifestyle to promote normal development.
单选题The nurse is administering magnesium sulfate to a client with
preeclampsia. The nurse explains to the client that this drug is given for which
of the following reason?
A. To prevent seizures.
B. To reduce blood pressure.
C. To slow the process of labor.
D. To increase diuresis.
单选题A client who received general anesthesia returns from surgery. Postoperatively, which nursing diagnosis takes highest priority for this client
单选题A client returns from a myelogram, for which an iodized oil
(Pantopaque) was used. Which one of the following nursing measures would be
included in his care?
A. Bed rest with bathroom privileges.
B. Restricted fluid intake.
C. Head of the bed elevated 45 degrees.
D. Assessment of lower extremity movement and sensation.
单选题To assess a client's cranial nerve function, the nurse should （）.
单选题Which of the following drugs may be abused because of tolerance and physiologic dependence? A. Lithium (Lithobid) and divalproex (Depakote). B. Verapamil (Calan) and chlorpromazine (Thorazine). C. Alprazolam (Xanax) and phenobarbital (Luminal). D. Clozapine (Clozaril) and amitriptyline (Elavil).