单选题37-year-old teacher is hospitalized with complaints of weakness, incoordination, dizziness, and loss of balance. The diagnosis is multiple sclerosis (MS). Which of the following signs and symptoms, discovered during the history and physical assessment, is typical of MS? A. Diplopia, history of increased fatigue, and decreased or absent deep tendon reflexes. B. Flexor spasm, clonus, and negative Babinski's reflex. C. Blurred vision, intention tremor, and urinary hesitancy. D. Hyperactive abdominal reflexes and history of unsteady gait and episodic paresthesia in both legs.
单选题The nurse is caring for a client in acute renal failure. The nurse should expect hypertonic glucose, insulin infusions, and sodium bicarbonate to be used to treat A. hypernatremia. B. hypokalemia. C. hyperkalemia. D. hypercalcemia.
单选题While managing the separation anxiety during hospitalization for a two-year-old boy, which of the following suggestions would be most helpful to the parents? A. Tell the child the time they are leaving and returning. B. Bring the child's favorite toys from home. C. Leave while the child is sleeping. D. Keep the visit time short.
单选题The nurse is caring for a comatose client who has suffered a closed
head injury. What intervention should the nurse implement to prevent increases
in intracranial pressure (ICP) ?
A. Suction the airway every hour and as needed.
B. Elevate the head of the bed 15 to 30 degrees.
C. Turn the client and change his position every 2 hours.
D. Maintain a well-lit room.
单选题The nurse is caring for a bulimic client and an anorectic client. What cognitive characteristics would be similar for both of these clients? A. Perfectionism, preoccupation with food. B. Relaxed personality, but preoccupied with food. C. No similarities. D. Preoccupation with exercise.
单选题A 34-year-old client at 32 weeks' gestation tells the nurse that her baby will be sick because she saw a dead dog on the road yesterday. What's the best response by the nurse? A. "Your baby will be fine. That's just superstition. " B. "Don't worry. We'll make sure your baby is okay. " C. "I can see that you are concerned. Let's talk about what's bothering you. " D. "Perhaps so. Your baby should be seen by a physician as soon as it's born. /
单选题Which one is not the effect of Methadone maintenance? A．Keep the patient from going into withdrawal B．Keep the patient comfortable and free from craving street opioids C．Restrain the effects of street opioids D．Help the patient cease the opioids drug immediately
单选题A client in the manic phase of bipolar disorder constantly belittles other clients and demands special favors from the nurses. Which nursing intervention would be most appropriate for this client? A. Ask other clients and staff members to ignore the client's behavior. B. Set limits with consequences for belittling or demanding behavior. C. Offer the client an antianxiety drug when belittling or demanding behavior occurs. D. Offer the client a variety of stimulating activities to distract him from belittling or making demands of others.
单选题A client is admitted with a diagnosis of delusions of grandeur. This diagnosis reflects the client has a belief that he is
单选题When administering an intramuscular injection to a neonate, which of the following muscles would the nurse consider as the best injection site? A. Deltoid. B. Dorsogluteal. C. Ventrogluteal. D. Vastus lateralis.
单选题A 38-year-old client is hospitalized with obsessive-compulsive disorder. On admission, she becomes nervous and asks to go to the bathroom to brush her teeth. Her husband says that she brushes her teeth at least 25 times per day. The nurse notes that the client's gums are inflamed and bleeding. What's the best nursing intervention? A. Have her stop brushing her teeth until the gums heal. B. Allow her to continue her routine of daily brushing. C. Monitor her dental care and set limits on the amount of daily brushing. D. Brush her teeth for her.
单选题Before administering a tube feeding to a toddler, which of the following methods should the nurse use to check the placement of a nasogastric (NG) tube? A. Abdominal X-rays. B. Injection of a small amount of air while listening with a stethoscope over the abdominal area. C. A check of the pH of fluid aspirated from the tube. D. Visualization of the measurement mark on the tube made at the time of insertion.
单选题The parents of an adolescent female are very upset about their daughter's diagnosis of anorexia nervosa and the treatment plan proposed. The best intervention by the nurse when the client's parents ask to bring food in for the client is to state A．"Your concern about food contribute to her problem. " B．"While in the hospital, she should eat the hospital food. " C．"For now, allow the hospital staff to handle her food needs. " D．"It is important that you bring in whatever you think she'll eat. /
单选题The typical character of narcissistic personality disorder is A．Extreme social anxiety B．Intolerance of aloneness C．Apathy D．Low self-esteem
单选题The nurse-manager has noticed a sharp increase in the mediation errors with IV antibiotics over the last month. She discusses the situation with each nurse involved. What other action should she take? A. Document it on their evaluation. B. Ask them to attend inservice training for administration of IV medications. C. Report them to the supervisor. D. Report the incidents to the hospital attorney.
单选题A client diagnosed with tuberculosis is taking the prescribed chemotherapy of isoniazid, rifampin, and pyrazinamide. The nurse should evaluate the client for signs of which of the following commonly occurring toxicities? A. Ototoxicity. B. Nephrotoxicity. C. Optic neuritis. D. Hepatotoxieity.
单选题Which of the following factors would be most important in selecting the needle length to use for a subcutaneous injection of hydromorphone hydrochloride? A. The diameter of the needle. B. The amount of adipose tissue at the administration site. C. The amount of medication to be administered. D. The viscosity of the solution to be injected.
单选题An elderly nursing home resident with the diagnosis of Alzheimer's likes to talk about older days and at times has a tendency to confabulate. The nurse should recognize that this behavior serves to A．Prevent regression B．Increase self-esteem C．Attract the attention of others D．Reminisce about achievements
单选题The nurse is caring for a client who has had an above-the-knee amputation. The client refuses to look at the stump. When the nurse attempts to speak with the client about his surgery, he tells the nurse that he doesn't wish to discuss it. The client also refuses to have his family visit. The nursing diagnosis that best describes the client's problem is A. hopelessness. B. powerlessness. C. disturbed body image. D. fear.
单选题When assessing a toddler diagnosed with spastic cerebral palsy, which of the following would the nurse expect to find? A. Toe-walking. B. Drooling. C. Facial grimacing. D. Wide-based gait.