单选题The nurse is caring for a client in the manic phase of bipolar disorder who is ready for discharge from the psychiatric unit. As the nurse begins to terminate the nurse-client relationship, which client response is most appropriate? A. Expressing feelings of anxiety. B. Displaying anger, shouting, and banging the table. C. Withdrawing from the nurse in silence. D. Rationalizing the termination, saying that everything comes to an end.
单选题A 38-year-old client is admitted for alcohol withdrawal. The most common early sign or symptom that this client is likely to experience is A. impending coma. B. manipulating behavior. C. suppression. D. perceptual disorders.
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 (SC) and brown fat. D. Tendency toward capillary fragility.
单选题Drugs to treat acute anxiety are prescribed to a client hospitalized
for an acute myocardial infarction. The client is reluctant to take anti-anxiety
drugs. The nurse suspects that the client is holding the drugs under his tongue
and disposing of them after she has left the room. What should the nurse do
first?
A. Report her suspicions to the client's physician.
B. Talk to the client about his attitude toward the medications.
C. Search the client's room for evidence of the medications.
D. Tell the client that his behavior must stop for his own
well-being.
单选题The nurse is developing a teaching plan for a client with diabetes mellitus. A client with diabetes mellitus should A. use commercial preparations to remove corns. B. cut toenails by rounding edges. C. wash and inspect feet daily. D. walk barefoot at least once each day.
单选题The client has a newly positive Mantoux skin test although she does not have active tuberculosis. Which medical therapy would be appropriate for her? A. Reevaluating the client's condition every 6 months. B. Performing a repeat skin test every 6 months. C. Administering isoniazid for about 9 months. D. Administering isoniazid until the skin test reverts to negative.
单选题In performing a routine fundal assessment, the nurse finds a client's fundus to be "boggy. " What action should the nurse take first? A. Call the physician. B. Massage the fundus. C. Assess lochia flow. D. Start methylergonovine as ordered.
单选题A client with stress incontinence asks the nurse what kind of diet she should follow at home. Which of the following diet regime would most likely be recommended by the nurse? A. Avoid alcohol and caffeine. B. Decrease fluid intake. C. Increase intake of fruit juice. D. Avoid milk products.
单选题A client on prolonged bed rest has developed a pressure ulcer. The wound shows no signs of healing even though the client has received skin care and has been turned every 2 hours. Which factor is most likely responsible for the failure to heal? A. Inadequate vitamin D intake. B. Inadequate protein intake. C. Inadequate massaging of the affected area. D. Low calcium level.
单选题When planning activities for an elderly nursing home resident with a diagnosis of vascular dementia, the nurse should A．Plan varied activities that will keep the resident occupied B．Provide familiar activities that the resident can successfully complete C．Offer challenging activities to maintain the resident's contact wit reality D．Make sure that the resident actively participates in the unit's daily activities
单选题A client who has cervical cancer is scheduled to undergo internal radiation. In teaching the client about the procedure, the nurse would be most accurate in telling the client A. she'll be in a private room with unrestricted activities. B. a bowel-cleansing procedure will precede radioactive implantation. C. she'll be expected to use a bedpan for urination. D. the preferred positioning in bed will be semi-Fowler's.
单选题In planning a presentation that advocates a decrease in the client-to-nurse ratio from 8:1 to 6:1, a nurse should emphasize its effect on （）.
单选题A preschool-aged child who is hospitalized with gastroenteritis has been NPO. The physician has written an order to advance the diet as tolerated. Which of the following food is the most appropriate for the first feeding the nurse should offer the child? A. Clear lemon carbonated beverage. B. Toast. C. Cooked cereal. D. Ice cream shake.
单选题A 4-year-old child with pain and itching around the rectum has just been diagnosed with a pinworm infestation. The physician prescribes mebendazole (Vermox). When teaching the child's parents about the treatment regimen, the nurse should emphasize which instruction? A. Look for white patches in the child's mouth. B. Make sure that all family members are treated. C. Encourage the child to drink lots of apple juice. D. Limit dairy products until the pinworms are eradicated.
单选题Which of the following should the nurse include in a postoperative teaching plan for a client with a laryngectomy? A. Telling the client to speak by covering the stoma with a sterile gauze pad. B. Reassuring the client that normal eating will be possible after healing has occurred. C. Instructing the client to avoid coughing until the sutures are removed. D. Instructing the client to control oral secretions by swabbing them with tissues or by expectorating into an emesis basin.
单选题A client has been prescribed 75 mg of amitriptyline (Elavil) at bedtime and 15 mg of phenelzine (Nardil) three times per day. Which nursing action takes priority? A. Teaching the client about the adverse effects. B. Calling the physician and questioning the order. C. Instituting dietary restrictions. D. Taking baseline vital signs.
单选题The nurse is providing care for a pregnant client with gestational diabetes. The client asks the nurse if her gestational diabetes will affect her delivery. The nurse should know that A. the delivery may need to be induced early. B. the delivery must be by cesarean. C. the mother will carry to term safely. D. it's too early to tell.
单选题The correct procedure for auscultating the client's abdomen for bowel sounds would include A. palpating the abdomen first to determine correct stethoscope placement. B. encouraging the client to cough to stimulate movement of fluid and air through the abdomen. C. placing the client on the left side to aid auscultation. D. listening for 5 minutes in all four quadrants to confirm absence of bowel sounds.
单选题The nurse is caring for a 45-year-old male client admitted with a retinal detachment in his left eye. What symptoms would the nurse expect to find during assessment
单选题The client is taking carbamazepine (Tegretol) to treat his trigeminal neuralgia. While preparing the client's teaching plan, which of the following instructions should the nurse include? A. Limit physical activity while taking the drug. B. Eliminate caffeine from the diet while taking drug. C. Arrange to have a CBC drawn weekly. D. Take the drug on an empty stomach.