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医院三基考试题库
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单选题A client with cholecystitis is receiving propantheline bromide. The client is given this medication because it A. reduces gastric solution production and hypermobility. B. slows emptying of the stomach and reduces chyme in the duodenum. C. inhibits contraction of the bile duct and gallbladder. D. decreases bile secretions.
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单选题Eight hours after catheterization, the postoperative client with abdominal hysterectomy has not voided. The client tells the nurse, "I don't think I can urinate. " What should the nurse do? A. Call and inform the surgeon of the client's status. B. Administer additional pain medication. C. Increase the client's fluid intake. D. Assess the client's bladder.
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单选题Which of the following home regimens should the nurse suggest to relieve itching in children with chicken pox? A. Generous amounts of fine baby powder. B. Oatmeal preparation baths. C. Terrycloth towels moistened with hydrogen peroxide. D. Cool compresses moistened with a weak salt solution.
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单选题The nurse is preparing a gastric lavage for a comatose victim of the car accident. Which of the following positions would be most appropriate for the client during this procedure? A. Trendelenburg's. B. Lithotomy. C. Lateral. D. Supine.
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单选题Fred, an elderly man who now lives in a nursing home, was just treated to a visit with his newborn great-granddaughter. After the family leaves, having encountered this generation of his offspring gets Fred pondering whether or not he has led a productive life. He wonders if his work and presence in the world before retirement have left it a better place, especially for his own family, or if he has merely been wasting time in his life, filling it up. At this point, which stage of Erickson's Psychosocial Stages of Development best describes Fred's situation? A.Industry vs inferiority B.Intimacy vs isolation C.Integrity vs despair D.Autonomy vs shame and doubt
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单选题In caring for a client with vasovagal syncope, the nurse should know that the associated temporary loss of consciousness is most commonly related to A. vestibular dysfunction. B. sudden vascular fluid shifting. C. postural hypotension. D. bradyrhythmia.
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单选题Conditions necessary for the development of a positive sense of self-esteem include
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单选题A 45-year-old auto mechanic comes to the physician's office because an exacerbation of his psoriasis is making it difficult to work. He tells the nurse that his finger joints are stiff and sore in the morning. The nurse should respond by A. inquiring further about this problem because psoriatic arthritis can accompany psoriasis vulgaris. B. suggesting he take aspirin for relief because it's probably early rheumatoid arthritis. C. validating his complaint but assuming it's an adverse effect of his vocation. D. asking him if he has been diagnosed or treated for carpal tunnel syndrome.
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单选题A registered nurse who usually works on a medical-surgical unit is told to report to the cardiac care unit (CCU) for the day because the CCU is short staffed and needs additional help to care for the clients. The nurse has never worked in the CCU. Which of the following responses is the most appropriate nursing action? A. Call the hospital lawyer. B. Report to the CCU and identify tasks that she feels she can safely perform. C. Speak to the nursing supervisor. D. Refuse to go to the CCU.
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单选题The nurse is providing preoperative care to a client scheduled for an appendectomy. Which statement regarding pain control is most appropriate? A. "There's no need to ask for pain medication, you'll receive it on a schedule. " B. "Take your pain medication after walking so that you won't feel dizzy. " C. "Take your pain medication before your pain becomes intense. " D. "Use as little pain medication as possible to avoid addiction. /
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单选题During a late stage of acquired immunodeficiency syndrome (AIDS), a client demonstrates signs of AIDS-related dementia. The nurse should give the highest priority to which nursing diagnosis? A. Bathing or hygiene self-care deficit. B. Ineffective cerebral tissue perfusion. C. Dysfunctional grieving. D. Risk for injury.
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单选题A 69-year-old client asks the nurse what the difference is between osteoarthritis (OA) and rheumatoid arthritis (RA). Which response is correct? A. OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen joints. B. OA and RA are very similar. OA affects the smaller joints, and RA affects the larger, weight-bearing joints. C. OA affects joints on both sides of the body. RA is usually unilateral. D. OA is more common in women. RA is more common in men.
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单选题One-year-old Susan, the second child to have sickle cell disease in a family of five children, is admitted to the hospital with sickle cell crisis. When preparing the plan of care for her, which of the following treatments would the nurse most likely expect to include in the plan? A. Intravenous fluid therapy. B. Fast-acting anticoagulant therapy. C. Parenteral iron therapy. D. Exchange transfusion.
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单选题A mother asks the nurse about how to manage her child's morning hyperglycemia. Which of the following would be most appropriate response by the nurse? A. Question the mother if her child has been avoiding sweets. B. Tell the mother that this is normal and to continue with the ordered doses. C. Ask the mother what her child's blood glucose levels have been for the last few days. D. Inform the mother that this is unusual and the child needs to be seen in the emergency room now.
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单选题The nurse is caring for a client with left-sided heart failure. To reduce fluid volume excess, the nurse can anticipate using A. antiembolism stockings. B. oxygen. C. diuretics. D. anticoagulants.
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单选题When caring for a client with ulcerative colitis, the nurse should include which of the following nursing interventions in the plan of care
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单选题On reviewing the child's laboratory results, the nurse notes a serum potassium level of 3.3mEq/L. Which of the following would the nurse encourage the child to drink? A. Cranberry juice. B. Apple juice. C. Grape juice. D. Orange juice.
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单选题When teaching the mother of a 17-month-old about toilet training, which instruction would initially be most appropriate
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单选题The nurse is speaking to a group of women about early detection of breast cancer. The average age of the women in the group is 47. Following the American Cancer Society (ACS) guidelines, the nurse should recommend that the women A. perform breast self-examination annually. B. have a mammogram annually. C. have a hormonal receptor assay annually. D. have a physician conduct a clinical examination every 2 years.
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单选题Every morning a client with type 1 diabetes receives 15 units of Humulin 70/30. What does this type of insulin contain? A. 70 units of NPH insulin and 30 units of regular insulin. B. 70 units of regular insulin and 30 units of NPH insulin. C. 70% NPH insulin and 30% regular insulin. D. 70% regular insulin and 30% NPH insulin.
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