单选题A client with thyroid cancer undergoes a thyroidectomy. After surgery, the client develops peripheral numbness and tingling and muscle twitching and spasms. The nurse should expect to administer A. thyroid supplements. B. antispasmodics. C. barbiturates. D. IV calcium.
单选题Which nursing intervention would most likely lead to a hyposmolar state? A. Performing nasogastric (NG) tube irrigation with normal saline solution. B. Weighing the client daily. C. Administering tap water enema until the return is clear. D. Encouraging the client with excessive perspiration to drink broth.
单选题A parent reports that his 2-year-old child often fails when running. The nurse interprets this as indicating which of the following as a normal aspect of a toddler's vision? A. Near-sightedness. B. Far-sightedness. C. Binocular vision. D. Strabismus.
单选题The nurse is caring for a 40-year-old woman who is a black Muslim. Which of the following choices is a concept on which black Muslims focus? A. Celibacy. B. Prophecy. C. Reincarnation. D. Self-esteem.
单选题The employer of a client on the psychiatric unit calls the nursing station inquiring about the client’s progress. The nurse doesn’t know if the client has given consent to allow the staff to give information out to callers on the phone. Which of the following would be the nurse’s best response（）
单选题One day after an appendectomy, a 9-year-old rates his pain at 4 out of 5 on the pain scale but is playing video games and laughing with his friend. Which of the following would the nurse document on the child's chart
单选题The primary reason for withholding food and fluids from a client who will receive general anesthesia is to help prevent A. constipation during the immediate postoperative period. B. vomiting and possible aspiration of vomitus during surgery. C. pressure on the diaphragm with poor lung expansion during surgery. D. gas pains and distention during the immediate postoperative period.
单选题The nurse is caring for a client who has a tracheostomy tube and is undergoing mechanical ventilation. The nurse can help prevent tracheal dilation, a complication of tracheostomy tube placement, by A. suctioning the tracheostomy tube frequently. B. using a cuffed tracheostomy tube. C. using the minimal air leak technique with cuff pressure less than 25 cmH2O. D. keeping the tracheostomy tube plugged.
单选题The nurse is developing a care plan for a client in her 34th week of gestation who is experiencing premature labor. What nonpharmacologic intervention should the plan include to halt premature labor? A. Encouraging ambulation. B. Serving a nutritious diet. C. Promoting adequate hydration. D. Performing nipple stimulation.
单选题Touching other people without their permission, reading someone else's mail, and using personal possessions without asking permission are all examples of A. antisocial behavior. B. manipulation. C. poor boundaries. D. passive-aggressive behavior.
单选题A high school student is referred to the school nurse for suspected substance abuse. Following the nurse's assessment and interventions, what would be the most desirable outcome? A. The student discusses conflicts over drug use. B. The student accepts a referral to a substance abuse counselor. C. The student agrees to inform his parents of the problem. D. The student reports increased comfort with making choices.
单选题A client with fecal impaction typically exhibits which clinical manifestation
单选题The nurse recognizes that at this time to assist a couple to deal with their feelings about the husband's terminal illness, it would be important to: A．Assist the couple to express their feelings about his terminal illness to each other B．Refer the husband to the psychotherapist for assistance in dealing with his anger about death C．Place the couple in a couple's therapy group that deals with the terminal illness of one partner D．Encourage the couple to verbalize their feelings to a therapist during their individual therapy sessions
单选题A 5-month-old infant is brought to the clinic by his parents because he "cries too much" and "vomits a lot. " The infant's birth weight was 6 pounds, 10 ounces, and his current weight is 7 pounds, 4 ounces, falling below the 5th percentile on a standard growth chart. Which of the following data would the nurse identify as the priority? A. Frequency of regular checkups. B. Feeding pattern. C. Pattern of weight gain. D. Family dynamics.
单选题The physician prescribes amoxicillin suspension 100 mg every 8 hours for a child who weighs 33 lb (15 kg). The drug is supplied in a bottle labeled 250 rag/teaspoon (1mL=50 mg). How many milliliters should the nurse administer? A. 2 mL. B. 2.5 mL. C. 5 mL. D. 7.5 mL.
单选题A nurse in a psychiatric setting has promoted a therapeutic relationship with an APD patient. One day the nurse is off duty and is prepare for leaving, the clients says in a pity tone, "Don't let me alone, please, other staff don't like me and often punish me. " What the nurse say is suitable and can assist the patient? A．"Don't worry, I will be back soon. " B．"I will ask the staff not to punish you. " C．"You are lying, none of staff will punish you. " D．"You know I leave at this time everyday. We'll talk about this in my next duty time. /
单选题Which intervention will best help to prevent a client from falling（）
单选题The nurse is assessing a client with heart failure. The breath sounds commonly auscultated in clients with heart failure are A. tracheal. B. fine crackles. C. coarse crackles. D. friction rubs.
单选题The nurse is assessing a 15-year-old female who is being admitted for treatment of anorexia nervosa. Which clinical manifestation is the nurse most likely to find? A. Tachycardia. B. Warm, flushed extremities. C. Parotid gland tenderness. D. Coarse hair growth.
单选题The nurse should encourage a client with a wound to consume foods high in vitamin C because this vitamin A. restores the inflammatory response. B. enhances oxygen transport to tissues. C. reduces edema. D. enhances protein synthesis.