单选题A client with cancer undergoes a total gastrectomy. Several hours after surgery, the nurse notes that the client's nasogastric (NG) tube has stopped draining. How should the nurse respond? A. Notify the physician. B. Reposition the NG tube. C. Irrigate the NG tube. D. Increase the suction level.
单选题During a client's chemotherapy regimen for breast cancer, which is important for the nurse to include in her plan of care? A. Instruct the client to consume plenty of raw fruits and vegetables. B. Take rectal temperatures for greater accuracy. C. Tell the client to avoid crowds and infected individuals. D. Ask friends and relatives not to visit during the course of chemotherapy.
单选题A 28-year-old woman is scheduled for a glucose tolerance test (GTT). She asks the nurse what result indicates diabetes mellitus. The nurse should respond that the minimum parameter for indication of diabetes mellitus is a 2-hour blood glucose level greater than A. 120 mg/dL B. 150 mg/dL C. 200 mg/dL D. 250 mg/dL
单选题The nurse notices that a depressed client taking amitriptyline (Elavil) for 2 weeks has become very outgoing, cheerful, and talkative. The nurse would suspect which of the following? A. The client is responding to the antipsychotic. B. The client may be experiencing increased energy and is at an increased risk for suicide. C. The client is ready to be discharged from treatment. D. The client is experiencing a split personality.
单选题The nurse is providing care for a postoperative client who has undergone a small bowel resection. The nurse may use an epidural catheter for which of the following ？（）
单选题The decision to get married might indicate that Johnny is in which of
Freud's psychosexual stages?
A.Latency
B.Oral
C.Genital
D.Phallic
单选题The nurse is caring for a client who exhibits signs of somatization. Which of the following statements is most relevant
单选题The nurse is caring a client in an acute care mental health program. The client refuses his morning dose of an oral antipsychotic medication and believes he's being poisoned. What should the nurse do? A. Crushing the medication and putting it in his food. B. Consulting with the physician about a plan of care. C. Administering the medication by injection. D. Omitting the dose and trying again the next day.
单选题The nurse is teaching a group of women to perform breast self-examination. The nurse should explain that the purpose of performing the examination is to discover A. cancerous lumps. B. areas of thickness or fullness. C. changes from previous self-examinations. D. fibrocystic masses.
单选题Which of the following is normal neonate calorie intake? A. 90 to 100 calories per kilogram. B. 110 to 130 calories per kilogram. C. 30 to 40 calories per lb of body weight. D. At least 2mL per feeding.
单选题A toddler with croup is given a vaponefrin updraft because of increasing respiratory distress. The nurse evaluates the treatment as being effective when see which of the following? A. The child's color is normal. B. The child's retractions are less severe. C. The child's heart rate is 100 bpm. D. The child's pulse oximeter reads 90.
单选题The nurse is interviewing a client who is currently under the influence of a controlled substance and shows signs of becoming agitated. Which measure should the nurse take first when caring for this client? A. Be aware of hospital security. B. Communicate a scolding attitude to intimidate the client. C. Use confrontation. D. Express disgust with the client's behavior.
单选题The husband of a patient who has died is unable to express his feelings of loss and at times denies them. His bereavement has extended over a lengthy period. Which of the following types of grief would the husband be experiencing? A．Anticipatory grief B．Inhibited grief C．Normal grief D．Unresolved grief
单选题Ms. T. has been admitted to your unit for obsessive-compulsive personality disorder. He constantly washes his hands. In planning his nursing care which of the following is an important short-term goal. The client will A．Refrain from washing his hands B．Discuss conflicts underlying his behavior C．Be protected from skin integrity breakdown D．Verbalize understanding of his disorder
单选题Mrs. Brown, who is breast-feeding, asks the nurse if she should supplement breast- feeding with formula feeding. The nurse bases the response on which of the following? A. Formula feeding should be avoided to prevent interfering with the breast milk supply. B. Primarily, water supplements should be used to prevent jaundice. C. Formula supplements can provide nutrients not found in breast milk. D. More vigorous sucking is needed for a bottle-feeding, so supplements should be avoided.
单选题The nurse is caring for a client with late-stage Alzheimer's disease.
The client's wife tells the nurse that the client has become very dependent. The
client's wife feels guilty if she takes any time for herself because the client
cries out for her. The nurse should develop which outcome to assist the client's
wife?
A. The caregiver learns to explain to the client why she needs time for
herself.
B. The caregiver distinguishes obligations she must fulfill from those that
can be controlled or limited.
C. The caregiver leaves the client at home alone for short periods of time
to encourage independence.
D. The caregiver avoids asking other family members to help for fear of
imposing on them.
单选题The nurse is interviewing a 19-year-old female at a clinic. It's her first visit, and she says that she has been exposed to herpes by her boyfriend. Initially, with primary genital or type 2 herpes simplex, the nurse would expect the client to have A. burning or tingling on the vulva, perineum, or vagina. B. dysuria and urine retention. C. perineal ulcers and erosions. D. bilateral inguinal lymphadenopathy.
单选题During the assessment stage, a client with schizophrenia leaves his arm in the air after the nurse has taken his blood pressure. Which of the following explains his action? A. Somatic delusions. B. Waxy flexibility. C. Neologisms. D. Nihilistic delusions.
单选题One morning the nurse overhears Elma, who is admitted with BPD, having an argument with her mother, When suppertime, Elma is very angry with the nurse and complains nurse must say something bad to her mother about her performance in ward. What the defense mechanism Elma is using? A．Dissociation B．Denial C．Projection D．Splitting
单选题A client is admitted with atrial fibrillation. The physician noted a pulse deficit. The pulse deficit measures which of the following? A. The difference between apical and radial pulse rates. B. The difference between systolic and diastolic blood pressures. C. The amount of blood ejected from the left ventricle per minute. D. The percentage of blood emptied from the ventricle during contraction.