单选题After cancer chemotherapy, a client develops nausea and vomiting. For this client, the nurse should give the highest priority to which action in the plan of care
单选题Several children in a kindergarten class have been treated for pinworm. To prevent the spread of pinworm, the school nurse meets with the parents and explains that they should A. tell the children not to bite their fingernails. B. not let children share hairbrushes. C. tell the children to cover their mouths and noses when they cough or sneeze. D. have their children immunized.
单选题The nurse is administering magnesium sulfate to a client with preeclampsia. The nurse explains to the client that this drug is given for which of the following reason
单选题The nurse provides fluid replacement for a client with burns on 35% of his body. It has been 12 hours since the burns occurred. His blood pressure is 85/60 mmHg. His pulse is 124 beats/minute. Urine output was 25 mL during the past hour. What orders should the nurse expect to receive from the physician? A. Maintain IV fluids at the present rate, and continue to reassess vital signs and urine output hourly. B. Increase the IV rate, and continue to reassess vital signs and urine output hourly. C. Decrease the IV rate, and continue to reassess vital signs and urine output hourly. D. Administer a vasoconstrictor, and reassess vital signs and urine output hourly.
单选题A client reveals to the nurse that he's sexually impotent. Which statement best expresses what the nurse should understand her client to mean? A. He's disinterested in sexual intimacy. B. He's unable to attain or retain an erection. C. His ejaculate is void of sperm. D. His semen isn't potent enough to impregnate.
单选题During the assessment stage, a client with schizophrenia leaves his arm in the air after the nurse has taken his blood pressure. His action shows evidence of A. somatic delusions. B. waxy flexibility. C. neologisms. D. nihilistic delusions.
单选题Which of the following would be an appropriate expected outcome of nursing care for the client with ulcerative colitis? A. The client experiences decreased frequency of constipation. B. The client accepts that an ileostomy will be necessary. C. The client maintains an ideal body weight. D. The client verbalizes the importance of restricting fluids.
单选题Which one of the following observation would the nurse evaluate as an expected outcome for a client who has undergone surgical repair of an inguinal hernia? A. The client will remain on a soft diet until the wound is healed. B. The client's voiding patterns will return to normal within 6 months after surgery. C. The client will use a cane for assistance with ambulation for 2 to 6 weeks after surgery. D. The client will verbalize understanding of instructions to avoid lifting for 2 to 6 weeks
单选题Which of the following signs and symptoms would be an early indication that the client's serum potassium level is below normal? A. Diarrhea. B. Tingling in the fingers. C. Sticky mucous membranes. D. Muscle weakness in the legs.
单选题A client has a total serum cholesterol level of 326 mg/dL. The nurse explains to the client that this level A. is normal and requires no further treatment. B. is high and will require dietary modification. C. is low and requires no further treatment. D. is borderline normal and may require dietary modification.
单选题A client diagnosed with anxiety disorder is prescribed buspirone (BuSpar). Teaching instructions for newly prescribed buspirone should include which of the following? A. A warning that immediate sedation can occur with a resultant drop in pulse. B. A reminder of the need to schedule blood work in 1 week to check blood levels of the drug. C. A warning about the incidence of neuroleptic malignant syndrome (NMS). D. A warning about the drug's delayed therapeutic effect, which is from 14 to 30 days.
单选题The nurse is teaching breast self-examination (BSE) to a college student. The nurse knows that the client understands the best time to examine her breasts when she says: A. "I'll examine my breasts 1 week after my period starts. " B. "I'll perform a BSE just before my period starts. " C. "I must examine my breasts the same time each day. " D. "Every time I shower I'll do a breast examination. /
单选题A client has a nasogastric tube inserted at the time of abdominal perineal resection with permanent colostomy. This tube will most likely be removed when the client demonstrates which of the following? A. Absence of nausea and vomiting. B. Absence of stomach drainage for 24 hours. C. Passage of mucus from the rectum. D. Passage of flatus and feces from the colostomy.
单选题Which laboratory test results would the nurse expect to find in a client diagnosed with Hashimoto's thyroiditis? A. Thyroxine (T4), 22μg/dL; triiodothyronine (T3), 320ng/dL; thyroid-stimulating hormone (TSH) undetectable. B. T4, 22μg/dL; T3, 200ng/dL; TSH,0.1μIU/mL. C. T4, 2μg/dL; T3, 200ng/dL; TSH,5.9μIU/mL. D. T4, 2μg/dL; T3, 35ng/dL; TSH,45μIU/mL.
单选题The nurse is preparing to administer a unit of blood to a client who is anemic. After its removal from the refrigerator, the blood should be administered within A. 1 hour. B. 2 hours. C. 4 hours. D. 6 hours.
单选题Which of the following serum electrolyte levels would the nurse expect to find in an infant with persistent vomiting? A. K+, 3.2 mEq/L; Cl-, 92 mEq/L; Na+, 120 mEq/L. B. K+, 3.4 mEq/L; Cl-, 120 mEq/L; Na+, 140 mEq/L. C. K+, 3.5 mEq/L; Cl-, 90 mEq/L; Na+, 145 mEq/L. D. K+, 5.5 mEq/L; Cl-, 110 mEq/L; Na+, 130 mEq/L.
单选题An 8-year-old child with asthma is being switched from parenteral steroid therapy to a daily dose of oral prednisone. Which of the following instructions would the nurse give to the parents? A. Have the child take the dose with meals to prevent gastric irritation. B. Make sure the pill is given intact to maintain the enteric coating. C. Administer the dose before bedtime to minimize side effects. D. Give the medication according to the child's response.
单选题The nurse is about to administer a medication to a client with whom the nurse is unfamiliar. To verify the client's identity, the nurse should A. ask the client his name. B. check the name posted outside the client's room. C. ask a family member the identity of the client. D. check the client's identification bracelet.
单选题A client refuses his evening dose of haloperidol (Haldol) then becomes extremely agitated in the day room while other clients are watching television. He begins cursing and throwing furniture. The nurse's first action is to A. check the client's medical record for an order for an IM as needed dose of medication for agitation. B. place the client in full leather restraints. C. call the physician and report the behavior. D. remove all other clients from the day room.
单选题A 10-year-old child with appendicitis is being prepared for surgery. Which of the following would be the nurse's first action? A. Administer an enema. B. Insert a nasogastric tube. C. Obtain vital signs. D. Administer antibiotics.