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 A. institutional resources. B. standards of practice. C. client-care quality. D. nursing recruitment.
单选题An elderly client is admitted to the hospital with the diagnoses of dementia of the Alzheimer's type and depression. The client has all of the following symptoms. The symptom that is unrelated to the depression would be A．Shallow or labile affect B．Neglect of personal hygiene C．"I don't know" answers to questions D．Apathetic response to the environment
单选题A client who has received a new prescription for oral contraceptives asks the nurse how to take them. Which of the following would the nurse instruct the client to report to her primary caregiver? A. Breast tenderness. B. Breakthrough bleeding within first 3 months of use. C. Decreased menstrual flow. D. Blurred vision and headache.
单选题While managing a manic episode, a nurse would NOT A．Provide a quiet environment and decrease stimuli B．Argue with patient about his disruptive behavior C．While administering medication as advised, observe for side effects, monitor lithium blood levels, and maintain fluid and salt intake D．Assist dressing and bathing
单选题A primigravida at 36 weeks' gestation tells the nurse that she has
moderate breast tenderness. The nurse teaches the client with some suggestions
for relief measures. Which of the following statements by the client suggests
the nurse that the client needs further instructions?
A. "I should wear a supportive bra at all times. "
B. "I should clean my nipples with soap. "
C. "I should change my sleeping positions. "
D. "I should clean up the colostrum with water. "
单选题A 54-year-old client has demonstrated increasing forgetfulness, irritability, and antisocial behavior. After being found disoriented and seminaked walking down a street, the client is admitted to the hospital, and a diagnosis of Alzheimer's disease is made. The client expresses fear and anxiety. Considering the client's diagnosis, the best approach would be for the nurse to A．Initiate a program of planned interaction and activity B．Reassure the client by the frequent presence of staff C．Explore in depth the reasons for the client's concerns D．Explain the purpose of the unit and why admission was necessary
单选题A client on an inpatient psychiatric unit at a community mental health center is pacing the hallway and appears agitated. When the nurse approaches him, he says loudly, "Leave me alone. " What’s the nurse’s best approach（）
单选题Hyperthyroidism is caused by increased levels of thyroxine in blood
plasma. A client with this endocrine dysfunction would experience
A. heat intolerance and systolic hypertension.
B. weight gain and heat intolerance.
C. diastolic hypertension and widened pulse pressure.
D. anorexia and hyperexcitability.
单选题After insertion of a chest tube for a pneumothorax, a client becomes hypotensive with neck vein distention, tracheal shift, absent breath sounds, and diaphoresis. The nurse suspects a tension pneumothorax has occurred. What cause of tension pneumothorax should the nurse check for? A. Infection of the lung. B. Kinked or obstructed chest tube. C. Excessive water in the water-seal chamber. D. Excessive chest tube drainage.
单选题Which of the following nursing measures would the nurse institute to help reduce eyelid edema in a child with nephrotic syndrome? A. Instill eye drops every 8 hours. B. Limit the child's television watching. C. Apply cool compresses to the child's eyes. D. Elevate the head of the child's bed.
单选题Which of the following findings in a client's history would be most likely to predispose her to renal calculi
单选题A recent immigrant from Vietnam is diagnosed with pulmonary tuberculosis (TB). Which intervention is most important for the nurse to implement with this client? A. Client teaching about the cause of TＢ. B. Reviewing the risk factors for TＢ. C. Developing a list of people with whom the client has had contact. D. Client teaching about the importance of TＢ testing.
单选题The nursing intervention that should receive the highest priority in the period immediately following an emaciated 13-year-old's admission to the hospital for starvation secondary to anorexia nervosa would be A．Providing adequate rest and nutrition B．Monitoring client's fluid and electrolyte balance C．Completing an assessment of the client's mental status D．Obtaining more data about the client's diet and exercise program
单选题The nurse is caring for a client during the fourth stage of labor. Which of the following nursing interventions would be LEAST appropriate? A. Catheterization to protect the bladder from trauma. B. Perineal assessments for swelling and bleeding. C. Vital signs and fundal checks every 15 minutes. D. Time with the neonate to initiate breast-feeding.
单选题A client with no known history of peripheral vascular disease comes to the emergency department complaining of sudden onset of lower leg pain. Inspection and palpation reveal absent pulses, paresthesia, and a mottled, cyanotic, cold, and cadaverous left calf. While the physician determines the appropriate therapy, the nurse should A. place a heating pad around the affected calf. B. elevate the affected leg as high as possible. C. keep the affected leg level or slightly dependent. D. shave the affected leg in anticipation of surgery.
单选题The nurse is admitting a client with a suspected fluid imbalance. The most sensitive indicator of body fluid balance is A. daily weight. B. serum sodium levels. C. measured intake and output. D. blood pressure.
单选题A 15-year-old female with a urinary tract infection is admitted to the facility. She tells the nurse she hopes she's pregnant. Which of the following would be the best response by the nurse? A. "Does your mother know about this?" B. "Tell me what pregnancy would mean to you. " C. "Congratulations. Does the baby's father know?" D. "I hope you aren't pregnant; you're too young. /
单选题A client with a known history of opiate addiction is treated for multiple stab wounds to the abdomen. After surgical repair the nurse notes that the client's pain is not relieved by the prescribed IM meperidine hvdrochloride(Demerol)injections. The nurse recognizes that the failure to achieve pain relief from the Demeroi injections indicates that the client is probably experiencing the phenomenon of A．Tolerance B．Habituation C．Physical addiction D．Psychological addiction
单选题The nurse is administering warfarin (Coumadin) to a client with deep vein thrombophlebitis. Which laboratory value indicates warfarin is at therapeutic levels（）
单选题Which of the following would the nurse expect to include in a community health program designed to control sexually transmitted diseases (STDs)