单选题Which assessment finding would lead the nurse to suspect dehydration in a preterm neonate? A. Bulging fontanels. B. Excessive weight gain. C. Urine specific gravity below 1.012. D. Urine output below 1 mL/hour.
单选题The nurse notices that the client's pupils are fixed and dilated. What does this finding indicate? A. The client is permanently paralyzed. B. The client is going to be blind as a result of an injury. C. The client probably has meningitis. D. The client has received a significant brain injury.
单选题For the child experiencing excessive vomiting secondary to pyloric stenosis, the nurse should assess the child for which of the following acid-base imbalances? A. Respiratory alkalosis. B. Respiratory acidosis. C. Metabolic alkalosis. D. Metabolic acidosis.
单选题The nurse notices that a client with obsessive-compulsive disorder washes his hands for long periods each day. How should the nurse respond to this compulsive behavior? A. By designating times during which the client can focus on the behavior. B. By urging the client to reduce the frequency of the behavior as rapidly as possible. C. By calling attention to or attempting to prevent the behavior. D. By discouraging the client from verbalizing anxieties.
单选题The nurse is caring for a client who recently underwent a total hip replacement. The nurse should A. ease the client onto a low toilet seat. B. allow the client's legs to be crossed at the knees when out of bed. C. use soft chairs when the client is sitting out of bed. D. limit client hip flexion when sitting.
单选题The nurse teaches the parents of a child being treated with antibiotics for an ear infection for a follow-up visit after the child completes the course of therapy. Which of the following statements by the parents indicates that they understand the reason for the follow-up visit? A. "Her hearing needs to be checked to see if the infection has done any damage. " B. "The doctor wants to make certain she has taken all the antibiotics. " C. "We need to make sure that her ear infection has completely cleared. " D. "She needs to get another prescription for second course of antibiotics. /
单选题A primigravida client with acquired immunodeficiency syndrome (AIDS) is in labor at term. In preparing her nursing care plan, the nurse should include which of the following nursing diagnoses? A. Risk for fetal or maternal injury related to the crisis of childbearing. B. Risk for infection related to suppressed immune status. C. Risk for deficient fluid volume related to dehydration. D. Risk for fetal injury related to uteroplacental insufficiency.
单选题Client: "I was so upset about my sister ignoring my pain when I broke my leg. " Nurse: "When are you going to your next diabetes education program?" This is a nontherapeutic response because the nurse has A．Used testing to evaluate the client's insight B．Changed the topic C．Exhibited an egocentric focus D．Advised the client what to do
单选题Mr. Smith has had a cast applied to his arm as an outpatient in the emergency room. Which of the following home care instructions should the nurse advice for his cast care? A. Use a ruler to reach inside and scratch under the cast. B. Apply a heating pad to the arm for 24 hours after the injury. C. Use powder on the skin around the cast. D. Smell the cast for foul odors.
单选题The nurse is assessing a neonate. Health history findings indicate that the mother drank 3 oz (88.7mL) or more of alcohol per day throughout her pregnancy. Which characteristic should the nurse expect to find? A. Prominent nasal bridge. B. Thick upper lip. C. Upturned nose. D. Large for gestational age.
单选题The nurse is teaching a new mental health aide. For which of the following clients is setting limits most important? A. A depressed client. B. A manic client. C. A suicidal client. D. An anxious client.
单选题While evaluating the needs of a client during the second trimester, the nurse can anticipate which of the following? A. Feelings of disbelief and ambivalence. B. Feelings of clumsiness and "ugliness". C. Increasing introspection but a general sense of well-being. D. Anxiety about the labor and delivery experience.
单选题The nurse is caring for a neonate with congenital clubfoot. After the final cast has been removed, which member of the health care team will most likely help the neonate with leg and ankle exercises and provide his parents with a home exercise regimen? A. Occupational therapist. B. Physical therapist. C. Recreational therapist. D. Speech therapist.
单选题The nurse must apply an elastic bandage to a client's ankle and calf. She should apply the bandage beginning at the client's
单选题The nurse would teach the client to implement which of the following nasal care measures after the nasal packing is removed
单选题A client is hospitalized with a diagnosis of chronic renal failure. An arteriovenous fistula was created in his left arm for hemodialysis. When preparing the client for discharge, the nurse should reinforce which dietary instruction? A. "Be sure to eat meat at every meal. " B. "Monitor your fruit intake and eat plenty of bananas. " C. "Restrict your salt intake. " D. "Drink plenty of fluids. /
单选题The nurse is preparing to care for a client diagnosed with catatonic schizophrenia. In anticipation of this client's arrival, what should the nurse do? A. Notify security. B. Prepare a magnesium sulfate drip. C. Place a specialty mattress overlay on the bed. D. Communicate the client's nothing-by-mouth status to the dietary department.
单选题The nurse is caring for a client who is experiencing sinus bradycardia with a pulse rate of 40 beats/minute. His blood pressure is 80/50 mmHg and he complains of dizziness. Which medication would be used to treat his bradycardia
单选题A nurse in a prenatal clinic is assessing a 28-year-old woman who is 24 weeks pregnant. Which of the following findings would lead this nurse to suspect that the client has mild preeclampsia
单选题Parents of a child with cystic fibrosis demonstrate knowledge of the effects of hot weather on their child when they state that hot weather is hazardous because the child has which of the following? A. Poor ability to concentrate urine. B. Little skin pigment to prevent sunburn. C. Poorly functioning temperature control center. D. Abnormally high salt loss through perspiration.