单选题The nurse is caring for a client with a fractured left femur. What signs indicate potential fat emboli? A. Increased partial pressure of arterial oxygen (PaO2), reduced sensation in left leg or foot. B. Left leg pain, dyspnea. C. Bradycardia, skin bruises. D. Cyanosis, decreased PaO2.
单选题A person who does not cheat on her income tax because she might get caught and sent to jail is demonstrating Kohlberg's ______ stage of morality. A．Postconventional B．Preconventional C．Formal operational D．Conventional
单选题Following a fall from a horse during rodeo practice, an 18-year-old client is seen in the emergency department. He has a large, dirty laceration on his leg. The wound is vigorously cleaned, closed, and dressed. In the past, the client has received the full immunization regimen for tetanus toxoid. The nurse asks the client about his tetanus immunization history and he says, "I had my last shot when I was 11 years old. " The nurse should A. advise the client to get a tetanus vaccine within 3 years. B. request the physician to order a serum tetanus titer. C. plan on administering a dose of tetanus vaccine. D. teach the client that he has life-long immunity to tetanus.
单选题A 14-year-old girl with Type 1 diabetes is monitoring her blood glucose level at home. Which of the following actions indicates that she understands appropriate care management strategies for a blood glucose level of 250 mg/dL? A. She will skip the next dose of insulin and drink fruit juice. B. She will take insulin and drink water. C. She will eat a high-carbohydrate meal and exercise. D. She will inject glucagon and rest.
单选题A client is admitted for detoxification after a cocaine overdose. The client tells the nurse that he frequently uses cocaine but that he can control his use if he chooses. Which coping mechanism is he using? A. Withdrawal. B. Logical thinking. C. Repression. D. Denial.
单选题During the first 24 hours after a client is diagnosed with addisonian crisis, which of the following should the nurse perform frequently? A. Weigh the client. B. Test urine for ketones. C. Assess vital signs. D. Administer oral hydrocortisone.
单选题When the physician examines the genital area of a child suspected of being abused, the nurse can be most therapeutic by A．Explaining the procedure and remaining with the child during the examination B．Telling the child that the doctor wants to see if there is "anything wrong down there. " C．Helping the mother explain the examination and the findings in terms the child will understand D．Asking whether the child would prefer the nurse or the mother to be present during the examination
单选题A child with type 1 diabetes mellitus develops diabetic ketoacidosis and receives a continuous insulin infusion. Which condition represents the greatest risk for this child? A. Hypercalcemia. B. Hyperphosphatemia. C. Hypokalemia. D. Hypernatremia.
单选题A client with a long history of ulcerative colitis takes sulfasalazine (Azulfidine) to control the condition. The nurse would anticipate the client to have which nutritional deficit that can occur as a result of taking this drug? A. Colbalamin. B. Folic acid. C. Niacin. D. Iron.
单选题The nurse is developing a discharge plan for a client who had cataract removal. Which of the following should be included in the discharge plan
单选题Which condition could a mother have and still be allowed to breast-feed her child? A. Positive for human immunodeficiency virus (HIV). B. Active tuberculosis (TB). C. Cardiac disease. D. Endometritis.
单选题The nurse is assessing an 8-month-old during a wellness checkup. Which
of the following is a normal developmental task for an infant this age?
A. Sitting without support.
B. Saying two words.
C. Feeding himself with a spoon.
D. Playing patty-cake.
单选题The nurse preparing to give a child an intramuscular injection chooses to give the injection into the gluteal muscle. The site is acceptable because which of the following reasons? A. The child has been walking for 1 year. B. The child has small deltoid muscles. C. The child is older than 2 years. D. The child weighs more than 25 pounds.
单选题The nurse is caring for a client who has hemoconcentration after fluid loss. Which IV fluids would be the most appropriate fluid replacement therapy for this client（）
单选题The nurse is performing a painless, noninvasive procedure to measure arterial oxygen saturation (SaO2). What procedure is it? A. Incentive spirometry. B. Arterial blood gas (ABG) measurement. C. Peak flow measurement. D. Pulse oximetry.
单选题The nurse is caring for a client with otosclerosis scheduled to undergo a stapedectomy. The client asks the nurse when her hearing will improve. Which response by the nurse is most appropriate? A. Your hearing may not improve but you'll no longer be bothered by tinnitus. B. Your hearing may be dramatically improved right after surgery. C. You may notice improved hearing within 1 to 2 weeks. D. Your hearing may improve 3 to 6 weeks after surgery.
单选题A mother whose daughter is killed in a school bus accident tells the nurse that her daughter was just getting over the chickenpox and did not want to go to school, but she insisted that she go. The mother cries bitterly and says her child's death is her fault. The nurse should realize that perceiving a death as preventable would most often influence the grieving process in that: A．The loss may be easier to understand and to accept B．Bereavement may be of greater intensity and duration C．The grieving process may progress to a psychiatric illness D．It causes the mourner to experience a pathologic grief reaction
单选题A nurse performs cardiopulmonary resuscitation (CPR) for 1 minute on an infant without calling for assistance. In reassessing the infant after I minute of CPR, the nurse finds that he still isn't breathing and that he has no pulse. The nurse should then （）.
单选题Which of the following interventions will assist the client in taking phenytoin as prescribed? A. Calling him daily for the first week after hospital discharge. B. Having a family member monitor him to ensure compliance. C. Providing him with written and verbal instructions about the medicine. D. Emphasizing that embarrassing seizures may occur again if he does not take the medicine.
单选题The nurse is providing home care instructions to a client who has recently had a skin graft. Which instruction is most important for the client to remember? A. Use cosmetic camouflage techniques. B. Protect the graft from direct sunlight. C. Continue physical therapy. D. Apply lubricating lotion to the graft site.