单选题Which of the following laboratory tests is considered the most reliable indicator of renal function? A. BUN. B. Urinalysis. C. Serum potassium. D. Serum creatinine.
单选题During a conversation with the client, the nurse observes the client shaking his leg and tapping his fingers on the table next to him. The nurse's best statement is. A. "I'll get you something to help you feel less anxious. " B. "I know that you feel anxious. Let's discuss something more pleasant. " C. "I see that you're anxious. I'll be back later when you're calmer. " D. "I noticed that your leg is shaking and you're tapping your fingers on the table. How are you feeling now?/
单选题While monitoring a client for the development of disseminated
intravascular coagulation (DIC), the nurse should take note of what assessment
parameters?
A. Platelet count, prothrombin time (PT), and partial thromboplastin time
(PTT).
B. Platelet count, blood glucose levels, and white blood cell (WBC)
count.
C. Thrombin time, calcium levels, and potassium levels.
D. Fibrinogen level, WBC count, and platelet count.
单选题The parents of a neonate with a cleft lip are shocked when they see their child for the first time. In order to help the parents accept their infant's anomaly, which of the following should be included in the neonate's plan of care? A. Reassuring them that surgery will correct the defect. B. Encouraging the parents to visit more frequently. C. Showing them pictures of babies before and after corrective surgery. D. Allowing them to complete their grieving process before seeing the infant again.
单选题The nurse is caring for a client diagnosed with body dysmorphic disorder. When the client verbalizes disapproval of her physical features, the nurse should A. encourage verbalizations about fears and stressful life situations. B. agree with the client because she feels a specific physical feature is awful. C. ignore the comment and talk about less threatening issues. D. compliment the client on her appearance.
单选题A client on an inpatient psychiatric unit at a community mental health center is pacing the hallway and appears agitated. When the nurse approaches him, he says loudly, "Leave me alone. " What's the nurse's best approach? A. Say nothing and pace with the client. B. Say "You sound upset. I'd like to help. " C. Say "okay" and walk away. D. Summon help in case the client becomes aggressive.
单选题When assessing a client with partial thickness burns over 60% of the body, which of the following should the nurse report immediately? A. Complaints of intense thirst. B. Moderate to severe pain. C. Urine output of 70 mL the 1st hour. D. Hoarseness of the voice.
单选题When administering an intramuscular injection to a neonate, which of the following muscles would the nurse consider as the best injection site
单选题The nurse is caring for a client who underwent a lumbar laminectomy 2 days ago. Which of the following findings should the nurse consider abnormal? A. More back pain than the first postoperative day. B. Paresthesia in the dermatomes near the wounds. C. Urinary retention or incontinence. D. Temperature of 99.2°F(37.3℃).
单选题Prior to the death of her husband, Mrs. Sardi complained of frequent headaches and loss of appetite. No medical cause was found. Mrs. Sardi probably was experiencing which type of grief? A．Abbreviated grief B．Anticipatory grief C．Unresolved grief D．Inhibited grief
单选题A 54-year-old female was found unconscious on the floor of her bathroom with self- inflicted wrist lacerations. An ambulance was called and the client was taken to the emergency department. When she was stable, the client was transferred to the inpatient psychiatric unit for observation and treatment with antidepressants. Now that the client is feeling better, which nursing intervention is most appropriate? A. Observing for extrapyramidal symptoms. B. Beginning a therapeutic relationship. C. Canceling any no-suicide contracts. D. Continuing suicide precautions.
单选题A pregnant client is taking folic acid. During prenatal teaching, which of the following foods would the nurse recommend as high in folic acid? A. Egg yolks. B. Fruit. C. Bread. D. Milk.
单选题A client is admitted to the hospital with an exacerbation of her chronic systemic lupus erythematosus (SLE). She gets angry when her call bell isn't answered immediately. The most appropriate response to her would be, A. "You seem angry. Would you like to talk about it?" B. "Calm down. You know that stress will make your symptoms worse. " C. "Would you like to talk about the problem with the nursing supervisor?" D. "I can see you're angry. I'll come back when you've calmed down. /
单选题A client with type 1 diabetes mellitus is pregnant for the second time. Her previous pregnancy ended in spontaneous abortion at 18 weeks' gestation. She's now at 22 weeks' gestation. The nurse is responsible for teaching the client about exercise during her pregnancy. Which of the following statements indicates that the client has an appropriate understanding of her exercise needs? A. "I know I need to walk with a friend or family member. " B. "I know I need to vary the times of day when I exercise. " C. "I know I need to exercise before meals. " D. "I know I need to drink fluids while I walk. /
单选题Pericardiocentesis is performed on a client with cardiac tamponade. This procedure would be deemed effective if A. aspirated blood clots rapidly. B. blood pressure decreases. C. blood pressure increases. D. heart sounds become muffled.
单选题A client with testicular cancer is scheduled for a right orchiectomy. The day before surgery, the client asks the nurse whether losing a testicle will have influence on his manhood. Which of the following facts about orchiectomy should form the basis for the nurse's response? A. Testosterone levels are decreased. B. Sexual drive and libido are unchanged. C. Sperm count increases in the remaining testicle. D. Secondary sexual characteristics change.
单选题When you next visit this dying patient with AIDS, he breaks down and cries and tells you that it is unfair that he should have to die now when he's finally made peace with his family and wants to live. You are shocked by this change in his mood. Your best reply would be A．"You can't be feeling this way. You have to proceed through the stages of dying in an orderly progression, and you've just moved backward. " B．"It does seem unfair ... tell me more about how you are feeling ... " C．"You'll be all right.., who knows how much time any of us has to enjoy relationships with those we love. You are lucky to have had the opportunity to make your peace. " D．"Tell me about your pain. Did it keep you awake last night?/
单选题A nurse is evaluating the effectiveness of dietary instructions in a client with diverticulitis. Regular consumption of which food would indicate that the client hasn't understood instructions? A. Fiber. B. Bananas. C. Cucumbers. D. Milk products.
单选题A client is admitted to the hospital for treatment of Prinzmetal's angina. When developing the client's plan of care, the nurse should remember that this type of angina is triggered by A. coronary artery spasm. B. an unpredictable amount of activity. C. activities that increase oxygen demand. D. an unknown source.
单选题A nurse in the nursery is preparing to perform phenylketonuria (PKU) testing. Which neonate is ready for the nurse to test? A. A 3-day-old neonate who has been fed IV since birth. B. A 2-day-old neonate who has been breast-fed. C. A 1-day-old neonate receiving formula. D. A breast-fed neonate being discharged within 24 hours of birth.