单选题While assessing a client who complained of lower abdominal pressure,
the nurse notes a firm mass extending above the symphysis pubis. The nurse
suspects
A. a urinary tract infection.
B. renal calculi.
C. an enlarged kidney.
D. a distended bladder.
单选题The physician decides to artificially rupture the membranes. Following this procedure, the nurse needs to check the fetal heart tones. Why should the nurse do so? A. To determine fetal well-being. B. To prepare for an imminent delivery. C. To assess for prolapsed cord. D. To assess fetal position.
单选题The nurse is providing home care to a client with failing vision due to macular degeneration. The nurse is concerned about the client's safety. Which of the following activities would help to lessen the client's risk of falling? A. Arranging pieces of furniture close together so the client can use them for guidance and support. B. Encouraging the client to wear a medical identification bracelet that describes the client's visual deficit. C. Installing a flashing light to indicate when the phone or doorbell is ringing. D. Installing handrails in hallways, in bathrooms, and on steps.
单选题The nurse is caring for a client who has just had a modified radical mastectomy with immediate reconstruction. She's in her 30s and has two young children. Although she's worried about her future, she seems to be adjusting well to her diagnosis. What should the nurse do to support her coping? A. Tell the client's spouse or partner to be supportive while she recovers. B. Encourage the client to proceed with the next phase of treatment. C. Recommend that the client remain cheerful for the sake of her children. D. Refer the client to the American Cancer Society's Reach for Recovery program or another support program.
单选题The nurse is assessing a postcraniotomy client and finds the urine output from a catheter is 1,500 mL for the 1st hour and the same for the 2nd hour. The nurse should suspect A. Cushing's syndrome. B. diabetes mellitus. C. adrenal crisis. D. diabetes insipidus.
单选题A voluntary client in a health care facility decides to leave the unit before treatment is complete. To detain the client, the nurse refuses to return the client's personal effects. This is an example of which of the following? A. False imprisonment. B. Violation of confidentiality. C. Limit setting. D. Slander.
单选题The physician orders supplemental oxygen for a client with a
respiratory problem. To provide the highest possible oxygen concentration, the
nurse expects to use which oxygen delivery device?
A. Nasal cannula.
B. Venturi mask.
C. Partial rebreathing mask.
D. Nonrebreathing mask.
单选题A mother of an ill child tells the nurse that her child "isn't eating well. " Which of the following strategies devised by the mother to help increase the child's intake is not appropriate
单选题When administering gentamicin to a preschooler, which of the following monitoring schedules is best for determining the drug's effectiveness? A. A serum trough level every morning. B. A serum peak level after the second dose. C. A serum trough and peak level around the third dose. D. Serial serum trough levels after three doses (24 hours).
单选题A client has severe pruritus from hepatitis B. Which of the following nursing measures would best enhance the client's comfort? A. Use hot water to increase vasodilation. B. Use cold water to decrease itching sensation. C. Give tepid water baths. D. Avoid lotions and creams.
单选题A new mother is concerned because her breast-feeding neonate wants to "nurse all the time. " Which of the following responses best indicates the normal neonate's breast-feeding behavior? A. "Breast milk is ideal for your baby, so his stomach will digest it quickly, requiring more feedings. " B. "Let me call the lactation consultant to make sure that your baby is feeding properly. " C. "Don't worry; your baby is an aggressive feeder and needs a lot of sucking satisfaction. " D. "It seems as if your baby is hungry. Why don't you provide your baby with some formula after the feeding to make sure he's getting enough nourishment?/
单选题An elderly client's lithium level is 1.4 mEq/L. She complains of diarrhea, tremors, and nausea. The nurse's first action is to
单选题During a private conversation, a client with borderline personality disorder asks the nurse to "keep my secret" and then displays multiple self-inflicted, superficial lacerations on the forearms. What is the nurse's best response? A. "This type of behavior requires you to be on suicide precautions. " B. "I'm going to tell your physician. Do you want to tell me why you did that?" C. "Tell me what type of instrument you used. I'm concerned about infection. " D. "Whenever something important occurs in treatment, the team needs to know about it. I'll have to tell the others, but let's talk about it first. /
单选题A physician schedules an invasive procedure for a client with acquired immunodeficiency syndrome-related dementia. He lives with his male companion, who is present. His mother, who lives in another state, is also present. The nurse anticipates that the consent form should be signed by A. the companion. B. the mother. C. the client. D. two physicians.
单选题A client has sustained a right tibial fracture and has just had a cast applied. Which instruction should the nurse provide in his cast care? A. Cover the cast with a blanket until the cast dries. B. Keep your right leg elevated above heart level. C. Use a knitting needle to scratch itches inside the cast. D. A foul smell from the cast is normal.
单选题A 3-year-old child with Down syndrome is admitted to the pediatric unit with asthma. The child doesn't enunciate words well and holds onto furniture when he walks. The nurse should ask the mother A. how long the child has been like this. B. if the child can walk without holding onto furniture. C. how the child's condition today differs from his normal condition. D. if the child always drools.
单选题A client in her 36th week of pregnancy is admitted to the hospital with vaginal bleeding. After undergoing an ultrasonic scan, she's diagnosed with placenta previa. Which assessment finding would best confirm this diagnosis ？（）
单选题The nurse notices muscle twitching in the hands and forearms of the client with pancreatitis. The nurse would report these symptoms immediately because clients with pancreatitis are at serious risk for which of the following problems? A. Hypermagnesemia. B. Hyperkalemia. C. Hypoglycemia. D. Hypocalcemia.
单选题A mother of a 4-month-old infant asks the nurse when she should wean from breast-feeding and begin using a cup. Which of the following would be the best indication of the infant's readiness to be weaned? A. Taking solid foods well. B. Sleeping through the night. C. Shortening the nursing time. D. Eating on a regular schedule.
单选题Which of the following positions is most appropriate for a neonate with congenital hip dislocation? A. Semi-Fowler's with both legs flexed. B. Legs adducted with head elevated. C. Swaddled in a baby carrier. D. Prone position with hips abducted.