单选题Within a few hours of alcohol withdrawal，the nurse should assess a client for the presence of A．Yawning, anxiety, convulsions B．Tremors, fever, profuse diaphoresis C．Disorientation, paranoia, tachycardia D．Anxiety, nervousness, irritability, GI upset
单选题The nurse administers a preoperative intramuscular medication at the ventrogluteal site. The nurse will inject the medication into which muscle? A. Rectus femoris. B. Gluteus maximus. C. Gluteus minimus. D. Vastus lateralis.
单选题An elderly female client is admitted to a nursing home from the general hospital with a diagnosis of dementia of the Alzheimer's type. One morning, after being in the nursing home for several days, the client is going to join a group of residents in recreational therapy. The nurse notes that the client has laid out several dresses on her bed but has not changed from her nightclothes. It would be most helpful for the nurse to A．Remind the client to dress more quickly to avoid delaying the other residents B．Help the client select appropriate attire and offer her assistance in getting dressed C．Help the client dress and tell her what time the residents are expected at the activity D．Allow the client as much time as she needs but explain that she is too late to attend this activity
单选题Which of the following is not a contributory factor to thermoregulation in the preterm neonate? A. Immature central nervous system (CNS). B. Large skin surface area. C. Lack of subcutaneous (S. Ｃ. ) and brown fat. D. Tendency toward capillary fragility.
单选题Which of the following is an appropriate health promotion activity to reduce the incidence of osteoporosis? A. Teaching women to maintain adequate calcium intake. B. Teaching women how to administer pain medication safely. C. Avoiding estrogen replacement therapy when postmenopausal. D. Teaching women to increase caffeine intake as a preventive measure.
单选题Two family members are arguing in a child's room. They start to hit each other and the child is crying. What's the most appropriate nursing action? A. Call security to come and intervene. B. Remove the child from the room. C. Ask one of the family members to leave the room. D. Try to reason with both family members.
单选题Which of the following is an early symptom of glaucoma
单选题The nurse is preparing a treatment plan for a client taking oral corticosteroids to control severe chronic asthma. Which statement indicates that the client understands his treatment plan? A. "I should take corticosteroids on an empty stomach. " B. "I need to take corticosteroids to help build up my immune system. " C. "I should stop taking corticosteroids if I haven't had an asthma attack for 1 week. " D. "I'll tell my other health care providers that I'm taking a corticosteroid. /
单选题An 82-year-old female is transferred to the hospital from a long-term care facility because of severe diarrhea. She is weak and dehydrated. Which acid-base imbalance could the client develop as a result of diarrhea? A. Respiratory acidosis. B. Metabolic acidosis. C. Carbonic acid deficit. D. Metabolic alkalosis.
单选题A client is placed in full leather restraints. How often must the nurse check the client's circulation? A. Once per hour. B. Once per shift. C. Every 10 to 15 minutes. D. Every 2 hours.
单选题The nurse is caring for four clients on a step-down intensive care unit. The client at the highest risk for developing nosocomial pneumonia is the one who （）.
单选题"Earlier today you said you were concerned that your son was still upset with you. When I stopped by your room about an hour ago, you and your son seemed relaxed and smiling as you spoke to each other. How did things go between the two of you?" This is an example of which therapeutic communication technique? A．Consensual validation B．Encouraging comparison C．Accepting D．General lead
单选题A primigravida client with acquired immunodeficiency syndrome (AIDS) is in labor at term. In preparing her nursing care plan, the nurse should include which of the following nursing diagnoses ？（）
单选题The nurse instructs the female client concerning hormone replacement therapy for menopausal symptoms. Which of the following points should the nurse include in the client's teaching plan? A. Estrogen therapy eliminates the need for supplemental calcium intake. B. Estrogen therapy can reduce the risk of menopausal bone loss. C. The risk of uterine cancer is decreased after menopause. D. Smoking is associated with a later onset of menopause.
单选题A client who has a potassium level of 6 mEq/L should be treated with A. antacids. B. IV fluids. C. fluid restriction. D. sodium polystyrene sulfonate (Kayexalate).
单选题The nurse is caring for a client who is experiencing auditory hallucinations. What would be most critical for the nurse to assess? A. Possible hearing impairment. B. Family history of psychosis. C. Content of the hallucinations. D. Possible sella turcica tumors.
单选题A few days after a colectomy, a client suddenly develops chest pain, shortness of breath, and air hunger. The nurse knows she must further assess the client's chest pain to determine its origin. When determining whether the chest pain is cardiac or pleuritic in nature, the nurse knows that pleuritic chest pain typically A. is described as crushing and substernal. B. worsens with deep inspiration. C. is relieved with nitroglycerin. D. is relieved when the client leans forward.
单选题A nurse is reviewing prenatal care with a client. Which of the following statements by the client best expresses adequate understanding of nutritional needs during pregnancy? A. "I expect to gain a few pounds each month at first. Then I'll really get big and put on 20 pounds or so. " B. "I guess I will get big and gain 20 to 30 pounds and look pregnant." C. "Because I have to eat for two, I should eat whatever I want whenever I feel hungry. " D. "I will need to eat more so that I will gain about 25 pounds, but I want to make sure I don't fill up with junk food. /
单选题The nurse is interviewing a client about his medical history. Which preexisting condition may lead the nurse to suspect that a client has colorectal cancer? A. Duodenal ulcers. B. Hemorrhoids. C. Weight gain. D. Polyps.
单选题A client with a serum glucose level of 618mg/dL is admitted to the facility. He's awake and oriented, has hot dry skin, and has the following vital signs, temperature of 100. 6°F (38.1℃), heart rate of 116 beats/minute, and blood pressure of 108/70mmHg. Based on these assessment findings, which nursing diagnosis takes highest priority? A. Deficient fluid volume related to osmotic diuresis. B. Decreased cardiac output related to elevated heart rate. C. Imbalanced nutrition. Less than body requirements related to insulin deficiency. D. Ineffective thermoregulation related to dehydration.