单选题A female neonate delivered by elective cesarean birth to a 25-year-old mother weighs 3,265g (7 lb, 3 oz). The nurse places the neonate under the warmer unit. In addition to routine assessments, the nurse should closely monitor this neonate for which of the following? A. Temperature instability due to type of birth. B. Respiratory distress due to lack of contractions. C. Signs of acrocyanosis. D. Unstable blood sugars.
单选题The nurse is teaching parents how to reduce the spread of impetigo. The nurse should encourage parents to （）.
单选题When assessing a client with a diagnosis of mood disorder-manic episode, the nurse is aware that the manic episode is in reality an A．Exaggerated response to an elating situation B．Uncontrolled acting out of uncensored id drives C．Incorrect interpretation of environmental stimuli D．Attempt to block unconscious feelings of depression
单选题When instructing the client with severe burns about proper nutrition, the nurse would encourage him to eat which of the following meals? A. Chicken breast, salad, iced tea. B. Roast beef sandwich, milkshake, cottage cheese. C. Hamburger, orange, coffee. D. Pasta salad, carrots, iced tea.
单选题A client being evaluated in the emergency department complains of chest pain that radiates to his neck, shoulders, back, and arms, which decreases when he sits up and leans forward. Based on this assessment, the nurse suspects that he has A. developed another myocardial infarction (MI). B. endocarditis. C. pericarditis. D. myocarditis.
单选题Which of the following would the nurse expect to include in a community health program designed to control sexually transmitted diseases (STDs)? A. Mass screening of all individuals. B. Location of the possible sources of infection. C. Treatment of those with the disease. D. Isolation of those suspected of having STDs.
单选题The parents of a 4-year-old with sickle cell anemia tell the nurse that they would like to have other children, but they're concerned about passing sickle cell anemia on to them. Which health care team member would be the most appropriate person for the nurse to refer them to? A. Clergy. B. Social worker. C. Certified nurse midwife. D. Genetic counselor.
单选题The nurse is assessing the puncture site of a client who has received a purified protein derivative test. Which finding indicates a need for further evaluation? A. 15-mm induration. B. Reddened area. C. 10-mm bruise. D. Blister.
单选题A client is prescribed 1000 mL of an antibiotic solution to be given
over 6 hours. What would be the flow rate? The infusion set administers 15
gtts/mL.
A. 28 gtts/min.
B. 35 gtts/min.
C. 42 gtts/min.
D. 45 gtts/min.
单选题A client who has sustained a head injury is to receive mannitol (Osmitrol) by IV push. In evaluating the effectiveness of the drug, the nurse should expect to find A. increased lung expansion. B. decreased cerebral edema. C. decreased cardiac workload. D. increased cerebral circulation.
单选题A patient carries on brief conversations with a nurse. During one such conversation, he seems relaxed and affable initially but soon begins to shift his position frequently, grasping the arms of his chair so tightly that his fingers blanch. The nurse remarks to him that he seems tense, to which he replies Yes. Which of these responses by the nurse at this time would demonstrate the BEST understanding? A．I'm beginning to feel tense too, Mr. Miles B．I wonder if I have said something wrong, Mr. Miles C．Do women usually make you feel nervous, Mr. Miles D．At what point in our talk did you begin to feel uneasy, Mr. Miles?
单选题A 56-year-old male has a blood pressure reading of 146/96mmHg. Upon hearing the reading, he exclaims, "My pressure has never been this high. Will I need to take medication to reduce it?" Which of the following responses by the nurse would be best? A. "Yes. Hypertension is prevalent among males; it's fortunate we caught this during your routine examination. " B. "We'll need to reevaluate your blood pressure because your age places you at high risk for hypertension. " C. "A single elevated blood pressure doesn't confirm hypertension. You'll need to have your blood pressure reassessed several times before a diagnosis can be made. " D. "You have no need to worry. Your pressure is probably elevated because you're in the doctor's office. /
单选题How should a psychiatric nurse respond when a delusional patient fearfully tells her that people are waiting outside the hospital to kill him? A．"You don't have to worry because you are safe here. " B．"You know as well as I do that no one is trying to kill you. " C．"You should rest now and, when you wake up, I'm certain you'll feel less afraid. " D．"I understand how frightened you feel but when you are better you will see things in a different way. /
单选题Which one of the following is useful for treatment with BPD? A．DBT B．Gestalt therapy C．REBT D．All of the above
单选题For a client in addisonian crisis, it would be very risky for a nurse
to administer
A. potassium chloride.
B. normal saline solution.
C. hydrocortisone.
D. fludrocortisone.
单选题The nurse identifies a client's responses to actual or potential health problems during which step of the nursing process? A. Assessment. B. Analysis. C. Planning. D. Evaluation.
单选题After a client receives an IM injection, he complains of burning pain in the injection site. Which nursing action would be the best to take at this time? A. Apply a cold compress to decrease swelling. B. Apply a warm compress to dilate the blood vessels. C. Massage the area to promote absorption of the drug. D. Instruct the client to tighten his gluteal muscles to promote better absorption.
单选题A 72-year-old client seeks help for chronic constipation. This is a common problem for elderly clients due to several factors related to aging. Which of the following is one such factor? A. Increased intestinal motility. B. Decreased abdominal strength. C. Increased intestinal bacteria. D. Decreased production of hydrochloric acid.
单选题The nurse should anticipate which psychological reactions during the second trimester of pregnancy? A. Self-centeredness and concentration on the behavior and appearance of children. B. Extroversion and emotional lability. C. Ambivalence and uncertainty. D. Dismay over body image and readiness for the end of pregnancy.
单选题The nurse is caring for an 85-year-old client. For which important factor directly influencing this client's mental health should the nurse be most aware? A. The client's attitude toward life circumstances. B. The client's age, education level, social status, and economic level. C. The number of children and grandchildren in the family and the client's relationship with them. D. Grief issues related to loss, role changes, and physical stamina.