单选题A 70-year-old woman who has had a number of strokes refuses further life-sustaining interventions, including artificial nutrition and hydration. She is competent, understands the consequences of her actions, is not depressed, and persists in refusing treatment. Her doctor is adamant that she cannot be allowed to die this way and her daughter agrees. An ethics consult has been placed. Who is the appropriate decision maker? A．Patient B．Daughter C．Doctor D．Ethics consult team
单选题A mother of four is remanded to the psychiatric unit by the court for observation. She was arrested and charged with abusing her 2-year-old son, who is in the pediatric intensive care unit in critical condition with a fractured skull and other injuries from a beating. When approaching the client, the nurse should expect the client to A．Deny beating her son B．Express concern for her son C．Ask where her three other children are D．Avoid talking about the situation completely
单选题Aclienthospitalizedwithapneumothoraxhasthefollowingarterialbloodgas(ABG)analysis:pH,7.19;partialpressureofarterialcarbondioxide(PaCO2),63mmHg;and,22mEq/L.Achesttubewasinsertedandoxygenadministeredat4L/minbynasalcannula.Onehouraftertheinitiationoftreatment,ABGanalysisreveals:pH,7.28;PaCO2,52mmHg;and,22mEq/L.ThischangeinABGanalysisindicatesA.respiratoryalkalosis.B.impendingrespiratoryarrest.C.theneedforintubation.D.improvedrespiratorystatus.
单选题The nurse is caring for a 10-year-old child with rheumatic fever. While obtaining the child's health history from the mother, the nurse should ask if the child recently had which illness? A. Strep throat. B. Influenza. C. Chickenpox. D. Mononucleosis.
单选题A client who survived an airplane crash has a diagnosis of posttraumatic stress disorder (PTSD). He has a history of nightmares, depression, hopelessness, and alcohol abuse. Which option offers the client the most lasting relief for his symptoms? A. The opportunity to verbalize memories of trauma to a sympathetic listener. B. Family support. C. Prescribed medications taken as ordered. D. Alcoholics Anonymous (AA) meetings.
单选题The nurse formulates a nursing diagnosis of Activity intolerance related to inadequate oxygenation and dyspnea for a client with chronic bronchitis. To minimize this problem, the nurse instructs the client to avoid conditions that increase oxygen demands such as the following A. drinking more than 1,500 mL of fluid daily. B. eating a high-protein snack at bedtime. C. eating more than three large meals per day. D. being overweight.
单选题A woman who is 10 weeks pregnant complains about her fatigue and frequent urination. What would be the nurse's response? A. Recognize these as normal early pregnancy signs and symptoms. B. Question her further about these signs and symptoms. C. Tell the client that she'll need blood work and urinalysis. D. Tell the client that she may be excessively worried.
单选题The nurse realizes that the environment is very important when caring for a client with a diagnosis of mood disorder manic episode. The nurse should A．Put bright drapes in the client's room to cheer up the client B．Place the client in a private room to provide a quiet atmosphere C．Assign the client to a room with other clients to provide company D．Assign the client to a room near the dayroom to be accessed to activities
单选题While a client with hypertension is being assessed, he says to the nurse, "I really don't know why I'm here. I feel fine and haven't had any symptoms. " Which of the following would be the nurse's best response? A. "Symptoms of hypertension are often not present. " B. "Symptoms of hypertension signify a high risk of stroke. " C. "Symptoms of hypertension occur only with malignant hypertension. " D. "Symptoms of hypertension appear after irreversible kidney damage has occurred. /
单选题A client who has recently had surgery for prostate cancer expresses to the nurse feelings of anger toward God, his church, and the clergy. Which intervention isn't appropriate for this client? A. Acknowledging the client's spiritual distress. B. Inviting the client's clergyman to visit him. C. Encouraging the client to discuss religious beliefs and practices. D. Encouraging the client to discuss concerns with the clergy.
单选题A client with peptic ulcer has been prescribed propantheline (Pro-Banthine) as part of the treatment. Which of the following side effects is associated with this medication? A. Nausea. B. Hypotension. C. Urinary frequency. D. Fatigue.
单选题Labor is divided into how many stages
单选题The clinic nurse is instructing a group of parents about emergency
treatment for accidental poisoning and injury. Which of the following statements
by one of the mothers indicates that she needs further instruction?
A. "I should flush my child's eye with room temperature tap water for 15 to
20 minutes if a caustic material gets into it. "
B. "I should save the emesis if my child vomits. "
C. "I should call the poison control center if there are any symptoms.
"
D. "I should give 2 to 5 teaspoons of clear fluids after administering
ipecac. "
单选题The nurse is teaching a client and his family about dietary practices related to Parkinson's disease. A priority for the nurse to address is risk of A. fluid overload and drooling. B. aspiration and anorexia. C. choking and diarrhea. D. dysphagia and constipation.
单选题Which of these signs suggests that a client with syndrome of inappropriate antidiuretic hormone (SIADH) secretion has developed complications? A. Tetanic contractions. B. Neck vein distention. C. Weight loss. D. Polyuria.
单选题Which of the following indications is the primary use for electroconvulsive therapy (ECT)
单选题A neonate of a client with type 1 diabetes mellitus is at high risk for hypoglycemia. An initial sign the nurse should recognize as indicating hypoglycemia in a neonate is A. peripheral acrocyanosis. B. bradycardia. C. lethargy. D. jaundice.
单选题An elderly nursing home resident with the diagnosis of dementia of the Alzheimer's type hoards lefto ver food from the meal tray and other seemingly valueless articles and stuffs them into pockets "so the others won't steal them. " The nurse should plan to A．Remove unsafe and soiled articles from the resident's belongings during the night B．Give the resident a small bag in which to place selected personal articles and food C．Explain to the resident why the nursing home's policy for cleanliness and safety must be followed D．Tell the resident that the staff is required to keep harmful objects out of reach in the resident's closet
单选题A nurse taking care of a patient with antisocial personality disorder should A．Help him to control impulsivity B．Promote him taking responsibility for himself and others C．Discern what and who will become his trigger D．All of the above
单选题The nurse inspects a client's back and notices small hemorrhagic spots. The nurse documents that the client has A. extravasation. B. osteomalacia. C. petechiae. D. uremia.