单选题The nurse is caring for a neonate with a myelomeningocele. The priority nursing care of a neonate with a myelomeningocele is primarily directed toward A. ensuring adequate nutrition. B. preventing infection. C. promoting neural tube sac drainage. D. conserving body heat.
单选题After a binge with cocaine, a young male is found unconscious and is admitted to the hospital with acute cocaine toxicity. Initial nursing action should be directed toward A．Setting limit for the patient B．Giving support and understanding for the patient C．Establishing a therapeutic relationship D．Providing the necessary physical care
单选题The nurse is developing a teaching plan for a client with genital herpes. She should include information about A. acyclovir (Zovirax). B. penicillin. C. doxycycline. D. tetracycline.
单选题A nurse instructs a prenatal class about the importance of doing Kegel exercises frequently. Kegel exercises help to（）
单选题Nursing measures for the client who has had an MI include helping the client to avoid activity that results in Valsalva's maneuver. Valsalva's maneuver may cause cardiac dysrhythmias, increased venous pressure, increased intrathoracic pressure, and thrombi dislodgment. Which of the following actions would help prevent Valsalva's maneuver? A. Have the client drink fluids through a straw. B. Have the client avoid holding her breath during activity. C. Have the client assume a side-lying position. D. Have the client clench her teeth while moving in bed.
单选题A 38-year-old client is admitted for alcohol withdrawal. The most common early sign or symptom that this client is likely to experience is
单选题An 18-year-old primagravida tells the nurse that the physician told
her that she needed to increase her intake of thiamine (vitamin Bi) in her diet.
Which of the following foods should the nurse instruct the client to consume
more?
A. Milk.
B. Rice.
C. Asparagus.
D. Beef.
单选题A client in a psychiatric clinic unit tells the nurse, "I don't think I can face going home tomorrow. " The nurse replies, "Do you want to talk more about it?" The nurse is using which of the following techniques? A. Presenting reality. B. Making observations. C. Restating. D. Exploring.
单选题An elderly client's lithium level is 1.4 mEq/L. She complains of diarrhea, tremors, and nausea. The nurse's first action is to A. hold the lithium (Lithobid) and notify the physician. B. reassure the client that these are normal adverse effects. C. administer another lithium dose. D. discontinue the lithium.
单选题A client undergoes a total laryngectomy and tracheostomy formation. On discharge, which instruction should the nurse give to the client and family? A. "Clean the tracheostomy tube with alcohol and water. " B. "Family members should continue to talk to the client. " C. "Oral intake of fluids should be limited for 1 week only. " D. "Limit the amount of protein in the diet. /
单选题The nurse applies a fetal monitor to a 15-year-old primagravida admitted to the hospital with possible pregnancy-induced hypertension. Which monitor pattern would the nurse expect to observe if the client is experiencing uteroplacental insufficiency? A. Late deceleration. B. Early deceleration. C. Variable deceleration. D. Fetal acceleration.
单选题A family member is caring for a client diagnosed with Alzheimer’s disease. Which of the following is most likely to cause the caregiver depression and role strain（）
单选题Which of the following assessments indicates fetal distress（）
单选题A client with three children who is still in her childbearing years is admitted for surgical repair of a prolapsed bladder. The nurse would find that the client understood the surgeon's preoperative teaching when the client states, A. "If I should become pregnant again, the child would be delivered by cesarean delivery. " B. "If I have another child, the procedure may need to be repeated. " C. "This surgery may render me incapable of conceiving another child. " D. "This procedure is accomplished in two separate surgeries. /
单选题An adolescent is admitted to the hospital for headaches. She approaches the nurse and confides that she is being sexually abused by a family friend. Which of the following would be the nurse's best initial response? A. "Can you tell me what happened?" B. "I believe you; you were right to tell me. " C. "Have you told your mother and father about this?" D. "Who else have you told about this?/
单选题The client with benign prostatic hypertrophy is prepared for admission to the hospital Which of the following information reported by the emergency room nurse would be most helpful to the nurse responsible for admitting the client? A. "A urine specimen was obtained from the client and sent to the laboratory for analysis. " B. "The client was catheterized, and 1100 mL of urine was obtained. The urine appeared cloudy, and a specimen was sent to the laboratory. " C. "The client is very cooperative. He is comfortable now that his bladder has been emptied. He had no ill effects from catheterization. " D. "The client was in the emergency room for 3 hours because of bladder distention. He is fine now but is being admitted as a possible candidate for surgery. /
单选题A client on an inpatient psychiatric unit at a community mental health center is pacing up and down the hallway. The client has a history of aggression. Which response by the nurse would be best when approaching the client? A. "If you can't relax, you could go to your room. " B. "Would you like your antianxiety medication now?" C. "You're pacing. What's going on?" D. "Let's go play a game of pool. /
单选题An elderly client with Alzheimer's disease begins supplemental tube
feedings through a gastrostomy tube to provide adequate calorie intake. The
nurse should be concerned most with the potential for
A. hypoglycemia.
B. fluid volume excess.
C. aspiration.
D. constipation.
单选题The nurse observes that the client's total parenteral nutrition (TPN) solution is infusing too slowly. The nurse calculates that the client has received 300 mL less than was ordered for the day. What should the nurse do next? A. Assess the infusion system, note the client's condition, and notify the physician. B. Discontinue the solution and administer dextrose in 5% water until the infusion problem is resolved. C. Increase the flow rate to infuse an additional 300 mL over the next hour. D. Maintain the flow rate at the current rate and document any discrepancy in the chart.
单选题The nurse, when planning care or a client recovering from an opiate overdose, should take into consideration that the client's underlying problem is probably a feeling of A．Guilt with a rejection of reality B．Hostility with a need for acceptance C．Inferiority with strong dependency needs D．Anger caused by an overwhelming need for independence