单选题The nurse is assessing a client with possible osteoarthritis. The most
significant risk factor for osteoarthritis is
A. congenital deformity.
B. age.
C. trauma.
D. obesity.
单选题The nurse is caring for a bedridden, elderly adult. To prevent pressure ulcers, which intervention should the nurse include in the care plan? A. Turn and reposition the client a minimum of every 8 hours. B. Vigorously massage lotion into bony prominences. C. Post a turning schedule at the client's bedside. D. Slide the client, rather than lift, when turning.
单选题Following a cystoscopy that confirmed a diagnosis of bladder cancer, a client is scheduled for chemotherapy and a ileal conduit urinary diversion. The nurse should include which of the following points in the client's preoperative teaching? A. The client's need to perform stoma self-care immediately after surgery. B. The client's need to remain on bed rest for 3 days following surgery. C. The procedure creates a stoma and he must wear a pouch afterward. D. The client will be able to control urine passage through the stoma.
单选题Aclientwithbicuspidaorticvalvehasseverestenosisandisscheduledforvalvereplacement.Whileteachingtheclientabouthisconditionandupcomingsurgery,thenurseshowshimaheartillustration.Whichvalvewillbereplaced?A.AB.BC.CD.D
单选题A client diagnosed with hyperthyroidism has been started on propylthiouracil (PTU) as drug therapy. The nurse should closely observe the client for which of the following side effects? A. Unusual bleeding or bruising. B. Hypertension. C. Hypokalemia. D. Peripheral edema.
单选题The nurse is teaching a group of patient-care attendants about infection-control measures. The nurse tells the group that the first line of intervention for preventing the spread of infection is A. wearing gloves. B. administering antibiotics. C. washing hands. D. assigning private rooms for clients.
单选题The physician prescribes a monoamine oxidase (MAO) inhibitor for a client. Which of the following nursing diagnostic categories would be most appropriate to focus on during client teaching? A. Risk for injury. B. Disturbed thought processes. C. Deficient fluid volume. D. Disturbed sleep pattern.
单选题Which nursing action takes priority when admitting a elient with right lower lobe pneumonia? A. Elevating the head of the bed 45 to 90 degrees. B. Auscultating the chest for adventitious sounds. C. Obtaining a sputum specimen for culture. D. Notifying the physician of the client's admission.
单选题A 9-month-old, well-nourished boy who lives with his extensive extended family tests positive for tuberculosis. Which of the following is a risk factor for tuberculosis in this client? A. Male sex. B. The infant is in the 95th percentile for height and weight. C. His mother did not receive prenatal care until the second trimester of her pregnancy. D. Age.
单选题A 24-year-old primipara decides to breast-feed her baby but says, "I'm worried that I won't be able to breast-feed my baby because my breasts are so small. " Which of the following is appropriate response by the nurse
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? A. Asking the child to say why he is not eating. B. Telling the child he must eat or else he will not get better. C. Allowing the child to choose his meals from an acceptable list of foods. D. Letting the child to substitute items on his tray for other nutritious foods.
单选题Following a precipitous delivery, examination of the client's vagina reveals a fourth-degree laceration. Which of the following would be contraindicated when caring for this client? A. Applying cold to limit edema during the first 12 to 24 hours. B. Instructing the client on the use of sitz-baths if ordered. C. Instructing the client about the importance of perineal (Kegel) exercises. D. Instructing the client to use two or more peripads to cushion the area.
单选题Which of the following symptoms would the nurse most likely observe in a client with cholecystitis from cholelithiasis? A. Black stools. B. Decreased white blood cell count. C. Nausea after ingestion of high-fat foods. D. Elevated temperature of 103°F(39.4℃).
单选题The nurse plans to teach a client who is receiving radiation therapy
how to care for his skin at home. Which of the following should be included in
the nurse's instructions?
A. "Apply a heating pad to the area to relieve pain. "
B. "Keep the area covered when you go outdoors. "
C. "You may use deodorant soap if you wish to cleanse the area. "
D. "Put baby oil on the area after each treatment to keep it from getting
dry. "
单选题In an industrial accident, a client who weighs 155 lb (70.3 kg)
sustained full-thickness burns over 40% of his body. He's in the burn unit
receiving fluid resuscitation. Which observation shows that the fluid
resuscitation is benefiting the client?
A. A urine output consistently above 100 mL/hr.
B. A weight gain of 4 lb (1.8 kg) in 24 hours.
C. Body temperature readings all within normal limits.
D. An electrocardiogram (ECG) showing no arrhythmias.
单选题After delivering her second child, the client tells the nurse that she wants to breast-feed. She indicates that she was unsuccessful at breast-feeding her first child and that she bottle-fed after 3 days of trying to nurse. Which of the following responses would best support this client's breast-feeding efforts? A. "I'll make sure that you're seen by the lactation consultant before you're discharged. " B. "It's important to room-in with your neonate so that you can respond to her nursing: cues, " C. "Don't worry, every baby is different, and I'm sure that you'll be successful this time. " D. "Breast-feeding is possible but you must be committed to it. /
单选题The nurse is preparing the client with heart failure to go home. Which of the following should be most important to include in the discharge education
单选题What's the most appropriate nursing diagnosis for a client exhibiting
obsessive-compulsive behavior?
A. Ineffective coping.
B. Imbalanced nutrition: Less than body requirements.
C. Imbalaneed nutrition: More than body requirements.
D. Interrupted family processes.
单选题For a child receiving steroids in therapeutic doses over a long period, the nurse should pay more attention on which of the following? A. Monitor the child's serum glucose level. B. Decrease the child's ingestion of potassium-rich foods. C. Give the drug on an empty stomach. D. Monitor the child's temperature to assess for infection.
单选题A young man is remanded by the courts for psychiatric treatment. From his police record the nurse notices that the client has records of delinquency, running away, auto theft, and vandalism in his early teenage years. He dropped out of school at age 16 and has been living on his own since then. His history suggests maladaptive coping. Which of the following problems is most associated with maladaptive coping? A. Antisocial personality disorder. B. Borderline personality disorder. C. Obsessive-compulsive personality disorder. D. Narcissistic personality disorder.