单选题Which of the following would be LEAST appropriate to assess in a mother who is breast-feeding? A. The attachment of the neonate to the breast. B. The mother's comfort level with positioning the neonate. C. Audible swallowing. D. The neonate's lips smacking.
单选题The nurse is providing postoperative care for a client recovering from abdominal surgery. The client is receiving morphine through a client-controlled analgesia pump. Which finding would indicate that the client is obtaining adequate pain relief ？（）
单选题The nurse is caring for a 40-year-old client. Which behavior by the client indicates adult cognitive development? A. Has perceptions based on reality. B. Assumes responsibility for actions. C. Generates new levels of awareness. D. Has maximum ability to solve problems and learn new skills.
单选题Thenurseiscaringforaclientwithadultrespiratorydistresssyndrome(ARDS).Whatisthemostlikelylaboratoryfindingintheearlystagesofthisdisease?A.Increasedcarboxyhemoglobin.B.Decreasedpartialpressureofarterialoxygen(PaO2).C.Increasedpartialpressureofarterialcarbondioxide(PaCO2).D.Decreasedbicarbonate().
单选题The nurse is assessing a client suffering from stress and anxiety. A common physiological response to stress and anxiety is A. sedation. B. diarrhea. C. vertigo. D. urticaria.
单选题The nurse is assessing a client with an ileal conduit. She notes that the client's urinary appliance contains pale yellow urine with large amounts of mucus. How would the nurse best interpret these data? A. These findings are normal for the client. B. There is irritation of the stoma. C. The client is developing an infection of the urinary tract. D. The mucus is caused by elevated levels of glucose in the urine.
单选题The nurse is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is to A. avoid shopping for large amounts of food. B. control eating impulses. C. identify anxiety-causing situations. D. eat only three meals per day.
单选题Which of the following would be best to help prepare a preschool-aged child for an injection? A. Having an older child explain that shots do not hurt. B. Helping the child to imagine she is in a different place. C. Giving the child a play syringe and a bandage to give a doll injections. D. Giving the child a pounding board to encourage expressions of anger.
单选题A 24-year-old client on the labor unit is being coached in the Lamaze method by her husband. On assessment, the nurse finds the client to be 5 cm dilated, 90% effaced, at +1 station with contractions coming every 2 to 3 minutes and lasting 35 to 40 seconds. The client has asked for pain relief. What's the nurse's best action? A. Check maternal blood pressure and pulse and fetal heart rate in response to contractions. B. Realize that it's too early to give pain medication, and encourage the husband to continue with the Lamaze coaching. C. Arrange for a sonogram to determine fetal position. D. Perform a vaginal examination to determine dilation, effacement, and station.
单选题When a client being seen in a fertility clinic doesn't respond to the clomiphene citrate, the physician prescribes IM menotropins (Pergonal). This drug increases her risk of producing multiple follicles that could mature to ovulation. To reduce the high risk of multifetal pregnancy and its possible adverse effects the nurse should monitor A. ultrasound study results and serum estradiol levels. B. ultrasound study results and serum progesterone levels. C. results of tests to detect luteinizing hormone (LH) in urine. D. serum levels of human chorionic gonadotropin (HCG).
单选题A child with rheumatic fever complains of painful joints. What nonpharmacologic measures should the nurse use to reduce the child's pain? A. Performing gentle passive range-of-motion (ROM) exercises. B. Gently massaging the painful joints. C. Using a bed cradle to keep linens off the joints. D. Encouraging position changes in bed every 2 hours.
单选题A client has been told to take ibuprofen (Motrin, Advil) to relieve the pain of her rheumatoid arthritis. Which of the following statements indicates the client understands how to take this drug safely and effectively? A. "I should not take aspirin with this drug unless my physician says to. " B. "I should not take this drug with antacids or food products. " C. "I do not need to worry about this medicine irritating my stomach. " D. "I should notice the effects of this medicine within the first few days. /
单选题A client asks the nurse what PSA is. The nurse should reply that it stands for
单选题A depressed female client appears to show sadness in her nonverbal behavior. The nurse should plan to help the client to: A．Increase her structured physical activity B．Be able to carry out activities of daily living C．Improve her ability to communicate with significant others D．Deal with painful feelings by sharing them
单选题The nurse is caring for a client who underwent a total hip replacement. What should the nurse and other caregivers do to prevent dislocation of the new prosthesis? A. Keep the affected leg in a position of adduction. B. Use measures other than turning to prevent pressure ulcers. C. Prevent internal rotation of the affected leg. D. Keep the hip flexed by placing pillows under the client's knee.
单选题When preparing a client for a scheduled colonoscopy, which of the following nursing interventions would the nurse include? A. Inserting a nasogastric tube 12 hours before the procedure. B. Cleansing the bowel with laxatives or enemas. C. Administering an antibiotic to decrease the risk of infection. D. Spraying a local anesthetic into the client's throat to calm the gag reflex.
单选题A client with heart failure develops pink frothy sputum, coarse crackles, and restlessness. Which of the following actions should the nurse take first? A. Check the client's blood pressure. B. Place the client in high Fowler's position. C. Calculate the client's fluid balance. D. Notify the physician.
单选题The most effective health-promotion measure related to glaucoma that the nurse could teach clients is which of the following? A. Appropriate blood pressure control. B. Prompt treatment of all eye infections. C. Avoidance of extended-wear contact lenses by older people. D. Annual intraocular pressure measurements for people older than 40 years.
单选题A client in labor received an epidural anesthetic when her dilation reached 5 cm. Which of the following nursing diagnoses would have the highest priority for her at this time? A. Impaired skin integrity related to inability to move lower extremities. B. Impaired urinary elimination related to the effects of the epidural. C. Deficient knowledge related to lack of information about regional anesthesia. D. Risk for injury related to hypotension secondary to vasodilation and pooling in extremities.
单选题The nurse recognizes that spinal shock is likely to persist for the first several weeks after the injury. Which of the following symptoms would be unexpected during the period of spinal shock? A. Tachycardia. B. Rapid respirations. C. Hypertension. D. Dry, warm skin.