单选题Which pregnancy-related physiologic change would place the client with a history of cardiac disease at the greatest risk for developing severe cardiac problems? A. Decreased heart rate. B. Decreased cardiac output. C. Increased plasma volume. D. Increased blood pressure.
单选题The nurse provides fluid replacement for a client with burns on 35% of his body. It has been 12 hours since the burns occurred. His blood pressure is 85/60 mmHg. His pulse is 124 beats/minute. Urine output was 25 mL during the past hour. What orders should the nurse expect to receive from the physician（）
单选题If a developmental psychologist believes that 6-year-olds solve logical problems more efficiently and accurately than 3-year-olds because their memory holds more information and works more rapidly, this belief is consist with which of the following theories? A．Information processing B．Erickson C．Kohlberg D．Piaget
单选题The most significant sign of acute renal failure is A. elevated body temperature. B. increased blood pressure. C. decreased urine output. D. increased urine specific gravity.
单选题"How does Jerry make you upset?" is a non-therapeutic communication technique because it A．Gives a literal response B．Indicates an external source of the emotion C．Interprets what the client is saying D．Is just another stereotyped comment
单选题After 5 days of hospitalization, the client who is receiving morphine sulfate for pain control asks for more pain medication with increasing frequency and exhibits increased anxiety and restlessness. His physical condition is stable. What is the probable cause of his behavior? A. His morphine dosage is too high. B. His coping mechanisms are exhausted. C. He is becoming addicted to the narcotic. D. He has developed tolerance to his narcotic dosage.
单选题The nurse is providing postprocedure care for a client who underwent percutaneous lithotripsy. In this procedure, an ultrasonic probe inserted through a nephrostomy tube into the renal pelvis generates ultra-high-frequency sound waves to shatter renal calculi. The nurse should instruct the client to A. limit oral fluid intake for 1 to 2 weeks. B. report the presence of fine, sandlike particles through the nephrostomy tube. C. notify the physician about cloudy or foul-smelling urine. D. report bright pink urine within 24 hours after the procedure.
单选题Conjunctivitis may be caused by bacteria, viruses, allergens, or irritants. What signs and symptoms differentiate bacterial conjunctivitis from other types? A. Subacute onset, severe pain, and preauricular adenopathy. B. Recurrent onset, no pain, and clear discharge. C. Acute onset, moderate pain, and purulent discharge. D. Acute onset, mild pain, and clear discharge.
单选题A client diagnosed with a peptic ulcer undergoes an upper gastrointestinal endoscopy to help the physician visualize the ulcer's location and severity. Immediately after the endoscopy, what would be a priority for the nurse to assess? A. Return of the gag reflex. B. Bowel sounds. C. Peripheral pulses. D. Intake and output.
单选题The client with diverticulitis is treated as an outpatient with drug therapy. Which drug therapy will most probably be employed
单选题The neonate's big toe dorsiflexes and the other toes fan when the nurse gently strokes the sole of the foot. The nurse should interpret this positive finding as which of the following? A. Stepping reflex. B. Plantar grasp. C. Galant reflex. D. Babinski sign.
单选题A client is diagnosed with a herniated lumbar disk at the L-5 interspace. Which of the following symptoms would most likely be the one that first caused the client to seek health care? A. Loss of voluntary muscle control. B. Loss of bladder control. C. Back pain that is relieved with resting. D. Back pain that radiates to the shoulders.
单选题A client is being admitted to the labor unit. Because she's well advanced in labor, the nurse must prioritize the admission questions. Which information is most important to obtain when birth is imminent? A. Duration of previous labor. B. Frequency of contractions. C. Presence of bloody show. D. Expected due date.
单选题A 23-year-old client in the manic phase of bipolar disorder is admitted to the facility. Which of the following agents would be appropriate for this client? A. Bupropion (Wellbutrin) and lithium (Lithobid). B. Lithium (Lithobid) and valproic acid (Depakene). C. Haloperidol (Haldol) and fluphenazine (Prolixin). D. Risperidone (Risperdal) and clozapine (Clozaril).
单选题How should the psychiatric nurse handle direct questions from the patient? The nurse should answer A．All questions to substantiate her professional credentials B．Questions about the patient's illness C．Questions about her behavior that the patient has observed D．All questions honestly
单选题The nurse is caring for a client hospitalized on numerous occasions for complaints of chest pain and fainting spells, which she attributes to her deteriorating heart condition. No relatives or friends report ever actually seeing a fainting spell. After undergoing an extensive cardiac, pulmonary, GI, and neurologic workup, she's told that all test results are completely negative. The client remains persistent in her belief that she has a serious illness. What diagnosis is appropriate for this client? A. Exhibitionism. B. Somatoform disorder. C. Degenerative dementia. D. Echolalia.
单选题A client is admitted to the hospital with an exacerbation of his chronic gastritis. When assessing his nutritional status, the nurse should expect a deficiency in A. vitamin Ａ. B. vitamin Ｂ6. C. vitamin Ｂ12. D. vitamin Ｃ.
单选题A client in her 36th week of pregnancy is admitted to the hospital with vaginal bleeding. After undergoing an ultrasonic scan, she's diagnosed with placenta previa. Which assessment finding would best confirm this diagnosis? A. A rigid abdomen. B. A soft, nontender uterus. C. Painful vaginal bleeding. D. Hypotension.
单选题The nurse is caring for several clients who have eating disorders. Based on appearance, how would the nurse distinguish bulimic clients from anorectic clients? A. By their teeth. B. By body size and weight. C. By looking for Mallory-Weiss tears. D. The clients are indistinguishable upon physical examination.
单选题The most important feeling for the nurse to convey to the client in order for the client with personality disorder to accept the nurse is one of A．Let client feel warm and being care B．Willingness to help C．Remorse for client D．No-nonsense demands with client