单选题The nurse is providing breast cancer education at a community facility. The American Cancer Society recommends that women get mammograms（）
单选题When developing a teaching plan for the mother of a child diagnosed with spastic cerebral palsy, which of the following descriptions would the nurse include? A. Wide-based gait and poor muscle coordination. B. Tremors and lack of active movement. C. Increased muscle tone and stretch reflexes. D. Slow, wormlike writhing movements.
单选题The physician decides to artificially rupture the membranes. Following this procedure, the nurse needs to check the fetal heart tones. Why should the nurse do so
单选题A local elementary school has requested scoliosis screening for its
students from the hospital's community outreach program. The school should be
informed that
A. these students are too young to screen; instead, older students should be
screened.
B. these students are too old to screen and will no longer benefit from
screening for scoliosis.
C. scoliosis screening requires sophisticated equipment and can't be done in
school.
D. this is an appropriate request and arrangements will be made as soon as
possible.
单选题Which of the following is not a contributing factor to unstable blood
sugars in the neonate?
A. Prematurity.
B. Respiratory distress.
C. Postdated infant.
D. Cesarean delivery.
单选题A pregnant client who is diabetic is at risk for having a large-for-gestational-age infant because of which of the following? A. Excess sugar causing reduced placental functioning. B. Insulin acting as a growth hormone on the fetus. C. Maternal dietary intake of high calories. D. Excess insulin reducing placental functioning.
单选题The nurse is caring for a child with leukemia. Which of the following should the nurse priority pay more attention to? A. Preventing injury. B. Monitoring the child's platelet count. C. Monitoring the child's temperature. D. Encouraging increased fluid intake.
单选题To deal with a client's hallucinations therapeutically, the nurse plans to A．Reinforce the perceptual distortions until the client develops new defenses B．Provide an unstructured environment and assign the client to a private room C．Avoid helping the client make connections between anxiety-producing situations and hallucinations D．Distract the client's attention by providing a competing stimulus that is stronger than the hallucinations
单选题A mother brings her 5-month-old female child to the pediatric clinic. The child has had recurrent middle-ear infections since she was 3 months old. Which of the following areas is most important to assess? A. How well the client eats. B. The client's weight gain since her last visit. C. Whether the client received all of her prescribed antibiotic at the time of the last infection. D. The client's temperature.
单选题A client is fully dilated. Which of the following actions would be inappropriate during the second stage of labor? A. Positioning the mother for effective pushing. B. Preparing for delivery of the baby. C. Assessing for rupture of membranes. D. Assessing vital signs every 15 minutes.
单选题Which of the following activities should the nurse discourage the client with a peptic ulcer
单选题A 23-month-old child is brought to the emergency department with
suspected croup. Which assessment finding reflects increasing respiratory
distress?
A. Intercostal retractions.
B. Bradycardia.
C. Decreased level of consciousness.
D. Flushed skin.
单选题A client is scheduled to undergo percutaneous transluminal coronary angioplasty (PTCA). The nurse explains the procedure to the client. Which of the following statements by the nurse is most appropriate? A. "PTCA involves opening a blocked artery with an inflatable balloon located on the end of a catheter. " B. "PTCA involves cutting away blockages with a special catheter. " C. "PTCA involves passing a catheter through the coronary arteries to find blocked arteries. " D. "PTCA involves inserting grafts to divert blood from blocked coronary arteries. /
单选题The client exhibits signs of sleep disturbance. Which intervention should the nurse try first? A. Administer sleeping medication before bedtime. B. Provide the client with normal sleep aids, such as pillows, back rubs, and snacks. C. Ask the client each morning to describe the quality of sleep during the previous night. D. Teach the client relaxation techniques, such as guided imagery, meditation, and progressive muscle relaxation.
单选题A pregnant client with premature rupture of the membranes has had
contractions every 10 minutes. After 48 hours, the contractions stop and the
client is to be discharged with home monitoring. The nurse discusses with the
client about preterm labor symptoms. Which of the following statements made by
the client indicates that she needs further instruction?
A. "I should report contractions that occur every 10 minutes in 1 hour.
"
B. "I should lie in bed on my left side if contractions begin. "
C. "I should call the doctor if my contractions occur every hour for 6
hours. "
D. "If I start having contractions, I should empty my bladder. "
单选题A client with a history of heart failure is examined in the outpatient department to investigate the recent onset of peripheral edema and increased shortness of breath. Physical findings include bilateral crackles, a third heart sound (S3), distended neck veins, elevated blood pressure, and pitting edema of the ankles. The nurse documents the severity of pitting edema as +1. What is the best description of this type of edema? A. Barely detectable depression when the thumb is released from the swollen area; normal foot and leg contours. B. Detectable depression of less than 5 mm when the thumb is released from the swollen area; normal foot and leg contours. C. A 5-to 10-mm depression when the thumb is released from the swollen area; foot and leg swelling. D. A depression of more than 1 cm when the thumb is released from the swollen area; severe foot and leg swelling.
单选题The nurse assesses a client with urticaria. The nurse understands that urticaria is another name for A. hives. B. a toxin. C. a tubercle. D. a virus.
单选题A client with a pneumothorax receives a chest tube attached to a Pleur-evac. The nurse notices that the fluid of the second chamber of the Pleur-evac isn't bubbling. Which nursing assumption would be most invalid? A. The tubing from the client to the chamber is blocked. B. There is a leak somewhere in the tubing system. C. The client's affected lung has reexpanded. D. The tubing needs to be cleared of fluid.
单选题An 20-month-old with acquired immunodeficiency syndrome (AIDS) is seen in the clinic for health maintenance. Which of the following vaccines would the nurse anticipate administering to this toddler? A. Diphtheria-tetanus-acellular pertussis. B. Varicella. C. Measles, mumps, and rubella. D. Hemophilus influenza.
单选题An adolescent client immobilized in a spica cast complains of having trouble breathing after meals. Which of the following actions would be best? A. Encourage the client to drink more between meals. B. Teach the adolescent purse&lip breathing. C. Give the client a laxative after meals. D. Offer the client small feedings several times a day.