单选题Which of the following is the nurse's goal in crisis intervention? A. To provide medication to sedate the client. B. To provide nondirective techniques such as free association. C. To provide problem-solving techniques and structured activities. D. To provide an insight-oriented analytic approach.
单选题A client with type 1 (insulin-dependent) diabetes mellitus has just learned she's pregnant. The nurse is teaching her about insulin requirements during pregnancy. Which guideline should the nurse provide? A. "Insulin requirements don't change during pregnancy. Continue your current regimen. " B. "Insulin requirements usually decrease during the last two trimesters. " C. "Insulin requirements usually decrease during the first trimester. " D. "Insulin requirements increase greatly during labor. /
单选题The nurse is caring for a client who is suicidal. When accompanying the client to the bathroom, the nurse should A. give him privacy in the bathroom. B. allow him to shave. C. open the window and allow him to get some fresh air. D. observe him.
单选题Which of the following would the nurse do for a 4-year-old girl who has just had a lumbar puncture? A. Administer narcotic analgesic for insertion site pain. B. Encourage the parents to hold the child. C. Ensure the child lies flat for at least 8 hours. D. Place a sandbag over the puncture site for 3 hours.
单选题Which of the following pieces of equipment would do best job to help prevent external rotation of the client's right leg postoperatively? A. Sandbags. B. A high footboard. C. A rubber air ring. D. A metal bed cradle.
单选题A client is hospitalized with a diagnosis of chronic glomerulonephritis. The client mentions that she likes salty foods. The nurse should warn her to avoid foods containing sodium because A. reducing sodium promotes urea nitrogen excretion. B. reducing sodium decreases edema. C. reducing sodium improves her glomerular filtration rate. D. reducing sodium increases potassium absorption.
单选题Of the following signs and symptoms of bowel obstruction, which is related primarily to small bowel obstruction rather than large bowel obstruction? A. Profuse vomiting. B. Cramping abdominal pain. C. Abdominal distention. D. High-pitched bowel sounds above the obstruction.
单选题A client is admitted to the labor and delivery department in preterm labor. To help manage preterm labor the nurse would expect to administer which of the following medication? A. Ritodrine (Yutopar). B. Bromocriptine (Parlodel). C. Betamethasone (Celestone). D. Magnesium sulfate.
单选题Two middle-aged sisters have been diagnosed with Huntington's disease. The children of these clients want to know what their chances are of developing this genetic disorder. The nurse's best response would be. A. "Only women become symptomatic. " B. "This disorder is an autosomal dominant disorder, so each child has a 50% chance of inheriting it. " C. "This disorder is an autosomal recessive disorder, so each child has a 25% chance of inheriting it. " D. "Women are symptomatic and men are carriers of this disorder. /
单选题Which information is most important for the nurse to include in a teaching plan for a schizophrenic client taking clozapine (Clozaril)? A. Monthly blood tests will be necessary. B. Report a sore throat or fever to the physician immediately. C. Blood pressure must be monitored for hypertension. D. Stop the medication when symptoms subside.
单选题A client with shock brought on by hemorrhage has a temperature of 97.6°F (36.4℃), a heart rate of 140 beats/minute, a respiratory rate of 28 breaths/minute, and a blood pressure of 60/30 mmHg. For this client the nurse should question which physician order? A. "Monitor urine output every hour. " B. "Infuse IV fluids at 83 mL/hr" C. "Administer oxygen by nasal cannula at 3 L/min" D. "Draw samples for hemoglobin and hematocrit every 6 hours. /
单选题The nurse is caring for a client with acute pulmonary edema. To immediately promote oxygenation and relieve dyspnea, which of the following interventions is appropriate? A. Administer oxygen. B. Have the client take deep breaths and cough. C. Place the client in high Fowler's position. D. Perform chest physiotherapy.
单选题The nurse is caring for a client who exhibits signs of somatization. Which of the following statements is most relevant? A. Clients with somatization are cognitively impaired. B. Anxiety rarely coexists with somatization. C. Somatization exists when medical evidence supports the symptoms. D. Clients with somatization often have lengthy medical records.
单选题When finding a depressed client crying, the most therapeutic response by the nurse to help the client explore feelings would be: A．"Does crying help?" B．"I know you are upset. " C．"Tell me what has upset you. " D．"Do you want to tell me why you are crying?/
单选题An adolescent girl who is receiving chemotherapy for leukemia is admitted for pneumonia. The adolescent's platelet count is 50,000 μL. Which of the following would be inappropriate to include in the plan of care? A. A sign over the bed that reads "NO NEEDLE STICKS AND NOTHING PER RECTUM". B. Two peripheral IV intermittent infusion devices, one for blood draws and one for infusions. C. Administration of oxygen at a rate of 4 L/min using a nonhumidified nasal cannula. D. Use of a tympanic membrane sensor to measure the client's temperature at the bedside.
单选题The nurse is making a plan of care for the child with juvenile
rheumatoid arthritis to reduce joint pain in the morning just after arising.
Which of the following interventions would be included in the plan?
A. Awakening the child once nightly to exercise the joints.
B. Having the child sleep in a sleeping bag.
C. Having the child sleep with the joints flexed.
D. Increasing pain medication at bedtime.
单选题The nurse in the emergency department is assessing a 64-year-old client experiencing substernal chest pain. The client's electrocardiogram shows evidence of myocardial ischemia. Which statement should indicate to the nurse that the client may be a candidate for thrombolytic therapy? A. "I have had chest pain for 2 days. " B. "My chest pain started 3 hours ago. " C. "My chest pain stops when I take a nitroglycerin pill. " D. "I have had chest pain on and off all week. /
单选题A client's chest X-ray reveals bilateral white-outs, indicating adult respiratory distress syndrome (ARDS). This syndrome results from A. cardiogenic pulmonary edema. B. respiratory alkalosis. C. increased pulmonary capillary permeability. D. renal failure.
单选题A 21-year-old client with a history of ulcerative colitis is hospitalized for an exacerbation. When planning dietary teaching, the nurse should recommend that the client consume A. high-protein foods, such as eggs, meat, and cheese. B. whole milk and other dairy products. C. raw fruits and vegetables. D. products containing caffeine.
单选题A certified nursing assistant (CNA) is caring for a client with Clostridium difficile diarrhea and asks the charge nurse, "How can I keep from catching this from the client?" The nurse reminds the CNA to wash her hands and to ensure the client is placed A. on protective isolation. B. on neutropenic precautions. C. in a negative-pressure room. D. on contact isolation.