单选题Which of the following measures would the nurse take into consider to help minimize joint pain in a child with rheumatic fever? A. Massaging the affected joints. B. Applying ice to the affected joints. C. Limiting movement of the affected joints. D. Encouraging progressive weight bearing.
单选题Because antianxiety agents such as chlordiazepoxide (Librium) can potentiate the effects of other drugs, the nurse should incorporate which of the following instructions in her teaching plan? A. Avoid mixing antianxiety agents with alcohol or other central nervous system (CNS) depressants. B. Avoid taking antianxiety agents at bedtime. C. Avoid taking antianxiety agents on an empty stomach. D. Avoid consuming aged cheese when taking antianxiety agents.
单选题A client has had a total gastrectomy for gastric cancer. Which one of the following is the most appropriate expected outcomes about nutrition
单选题For a client with a head injury whose neck has been stabilized, the preferred bed position is A. Trendelenburg's. B. 30-degree head elevation. C. flat. D. side-lying.
单选题The nurse is caring for a client in the first 4 weeks of pregnancy. The nurse should expect to collect which assessment findings? A. Presence of menses. B. Uterine enlargement. C. Breast sensitivity. D. Fetal heart tones.
单选题After a cerebrovascular accident (CVA) a client develops aphasia. Which
assessment finding is most typical in aphasia?
A. Arm and leg weakness.
B. Absence of the gag reflex.
C. Difficulty swallowing.
D. Inability to speak clearly.
单选题Nursing implications for a client taking central nervous system (CNS) stimulants include monitoring the client for which of the following conditions? A. Hyperpyrexia, slow pulse, and weight gain. B. Tachycardia, weight loss, and mood swings. C. Hypotension, weight gain, and listlessness. D. Increased appetite, slowing of sensorium, and arrhythmias.
单选题A child, age 4, is admitted with a tentative diagnosis of congenital heart disease. When assessment reveals a bounding radial pulse coupled with a weak femoral pulse, the nurse suspects that the child has A. patent ductus arteriosus. B. coarctation of the aorta. C. a ventricular septal defect. D. truncus arteriosus.
单选题Tamara says that her sister is attracted to their new next door neighbor, yet it is typically Tamara who watches their neighbor whenever he leaves his house. Freud would suggest that Tamara is using A．Projection B．Sublimation C．Intellectualization D．Reaction formation
单选题Which of following would lead the nurse to suspect that a client's labor is moving quickly and that the physician should be notified? A. An increased sense of rectal pressure. B. An increase in fetal heart rate variability. C. A decrease in intensity of contractions. D. Episodes of nausea and vomiting.
单选题A client is to have a cesarean delivery because of continuous vaginal bleeding and an abnormal fetal heart rate tracing. Which of the following would be the best preoperative medication for this client? A. Meperidine (Demerol). B. Oxytocin (Pitocin). C. Promethazine (Phenergan). D. Glycopyrrolate (Robinul).
单选题A client asks the nurse what PSA is. The nurse should reply that it stands for A. prostate-specific antigen, used to screen for prostate cancer. B. protein serum antigen, used to determine protein levels. C. pneumococcal strep antigen, a bacteria that causes pneumonia. D. papanicolaou-specific antigen, used to screen for cervical cancer.
单选题A client who agreed to become an organ donor is pronounced dead. What is the most important factor in selecting a transplant recipient? A. Blood relationship. B. Sex and size. C. Compatible blood and tissue types. D. Need.
单选题The nurse is teaching a client about using vaginal medications. The nurse should instruct the client （）
单选题A 9-month-old infant is admitted with diarrhea and deficient fluid volume. The nurse plans to assess this client's vital signs frequently. What other action would provide the most important assessment information? A. Measuring the infant's body weight. B. Obtaining a stool specimen for analysis. C. Obtaining a urine specimen for analysis. D. Inspecting the infant's posterior fontanel.
单选题The nurse is administering total parenteral nutrition (TPN) to a client who underwent surgery for gastric cancer. What is a major complication of TPN? A. Hyperglycemia. B. Extreme hunger. C. Hypotension. D. Hypoglycemia.
单选题The nurse is preparing the client with a cerebrovascular accident for discharge to home. The nurse should recognize which of the following factors would most likely influence the client's continuing progress in rehabilitation at home? A. The family's ability to provide support to the client. B. The client's ability to ambulate. C. The availability of a home health aide to care for the client. D. The frequency of follow-up visits with the physician.
单选题What is the main symptom of hebephrenic schizophrenia? A．The inappropriate affect of the person B．Abnormal and postural movements C．Delusions and extreme suspiciousness D．Undifferentiated symptoms
单选题As a client's depression begins to lift, the nurse encourages involvement with unit activities, primarily because this type of activity: A．Provides for and encourages group interaction B．Allows the client to verbalize repressed feelings of hostility C．Supports the client's ego strengths and builds self-confidence D．Keeps the client in view of the staff to limit suicide opportunities
单选题The nurse is assessing a 15-year-old female who is being admitted for treatment of anorexia nervosa. Which clinical manifestation is the nurse most likely to find（）