单选题Trimethobenzamide (Tigan) 150 mg IM has been ordered to treat a client's nausea and vomiting. The nurse has an ampule of Tigan labeled 200 mg/mL. How many mL should the nurse prepare to give the client? A. 0.50 mL. B. 0.75 mL. C. 1.0 mL. D. 1.5 mL.
单选题The nurse is assigned to care for a postoperative client who has diabetes mellitus. During the assessment interview, the client reports that he's impotent and says that he's concerned about its effect on his marriage. In planning this client's care, the most appropriate intervention would be to A. encourage the client to ask questions about personal sexuality. B. provide time for privacy. C. provide support for the spouse or significant other. D. suggest referral to a sex counselor or other appropriate professional.
单选题Which of the nursing actions described below would you correct if you saw a nursing assistant doing this? A．Talking to a comatose patient B．Sitting on the bed of a dying patient holding her hand and crying C．Agreeing with the daughter of a dying resident with Alzheimer's disease that the burdens associated with artificially feeding her father may outweigh the benefits D．Telling a dying patient to sit back and relax and that she will wash him because it's easier that way
单选题A client reports substernal chest pain. Test results show electrocardiograph changes and an elevated cardiac troponin level. Which of the following should be the focus of nursing care? A. Improving myocardial oxygenation and reducing cardiac workload. B. Confirming a suspected diagnosis and preventing complications. C. Reducing anxiety and relieving pain. D. Eliminating stressors and providing a nondemanding environment.
单选题The nurse is interviewing a client admitted to the facility with a diagnosis of schizophrenia. The client states, "I run apple, train, grass, window. " This response by the client is known as A. echopraxia. B. a word salad. C. flight of ideas. D. neologisms.
单选题Which nursing measure would be most effective in helping the client
cough and deep breathe after a cholecystectomy?
A. Having the client take rapid, shallow breaths to decrease pain.
B. Having the client lay on the left side while coughing and deep
breathing.
C. Teaching the client to use a folded blanket or pillow to splint the
incision.
D. Withholding pain medication so the client can be alert enough to follow
the nurse's instructions.
单选题Mr. W is with bipolar disorder, manic phase, with a nursing diagnosis of Imbalanced nutrition: less than body requirements. In order to help the client meet recommended daily allowances of nutrients, which of the following nursing interventions should be included in the plan of care? A. Tell the client to sit alone at mealtime so that he won't be distracted by others. B. Teach the client about proper nutrition. C. Give the client half of a meat and cheese sandwich between meals. D. Inform the client that snacks are available only if he eats properly at mealtime.
单选题A client with type 1 (insulin-dependent) diabetes mellitus who is a multigravida visits the clinic at 28 weeks' gestation. Which of the following instruction by the nurse is appropriate for the client
单选题An elderly resident with the diagnosis of dementia of the Alzheimer's type frequently talk about the good old days at the ranch as a child. On the basis of an understanding of the resident's diagnosis, the nurse's most appropriate action at this time would be to A．Involve the resident in interesting diversional activities in a small group B．Allow the resident to reminisce about the past and listen with interest to the stories C．Gently remind the resident that those "good old days" are past and thinking should focus on the present D．Introduce the resident to other residents of the same age so that they can mutually share their past experiences
单选题A 30-year-old client with 7 months pregnancy reports severe leg cramps at night. Which nursing action would be most effective in helping her cope with these cramps
单选题The client underwent a bowel resection and was in the post-anesthesia recovery unit for 1 hour. She returns from the recovery room with an intravenous line, a nasogastrie tube, and a Foley catheter in place. She complains of pain and asks for medication. What should the nurse do? A. Administer the ordered narcotic. B. Establish the location and severity of pain. C. Determine if she was medicated for pain in the post-anesthesia recovery unit. D. Reposition her and give her a back rub.
单选题Which of the following BEST describes how the nurse should deal with manic patients? A．Enthusiasm B．Encouraging support C．A reassuring manner that reduces anxiety D．Quiet calmness
单选题A school-age child is admitted to the hospital with a diagnosis of acute lymphoblastic leukemia. The nurse formulates a nursing diagnosis of Risk for infection. Which of the following is the most effective way for the nurse to reduce the child's risk of infection? A. Implementing reverse isolation. B. Maintaining standard precautions. C. Requiring staff and visitors to wear masks. D. Practicing thorough hand washing.
单选题In providing discharge teaching for the client after a modified radical mastectomy, the nurse should instruct the client that she might need to modify or avoid which of the following activities? A. Shampooing her dog. B. Caring for her tropical fish. C. Working in her rose garden. D. Taking a late-evening swim.
单选题A client in acute renal failure is admitted to the nephrology unit. The period of oliguria in these clients usually lasts about t0 days. Which of the following assessments of kidney function would the nurse make during the oliguric phase? A. No urine output; kidneys in a state of suppression. B. Urine output of 30 to 60 mL/hr. C. Urine output of less than 400 to 600 mL in 24 hours. D. Urine output directly related to the amount of IV fluids infused.
单选题When caring for a client with preeclampsia, which action is a priority? A. Monitoring the client's labor carefully and preparing for a fast delivery. B. Continually assessing the fetal tracing for signs of fetal distress. C. Checking vital signs every 15 minutes to watch for increasing blood pressure. D. Reducing visual and auditory stimulation.
单选题The nurse is caring for a client admitted to the hospital with a bowel obstruction. The nurse should wear sterile gloves when （）.
单选题A nursing care plan for a client with a bipolar disorder should include.. A．Providing a structured environment B．Touching the client to provide reassurance C．Engaging the client in conversation about current attain D．Designing activities that will require the client to maintain contact with reality.
单选题A breast-feeding neonate will turn his head toward the mother's breast in a natural instinct to find food. What is the name of this reflex
单选题Which procedure or practice is associated with surgical asepsis（）