单选题The nurse is interviewing the mother of a 7-year-old child. Which of the following symptoms reported by the mother would most lead the nurse to suspect that the child has type 1 diabetes? A. Recent bed wetting. B. Poor appetite. C. Weight gain. D. Boundless energy.
单选题A neonate receives an Apgar score at 1 and 5 minutes after birth. The 5-minute Apgar score is more predictive for which of the following
单选题A client who has discovered a breast lump is tearful and expresses concern over her situation. The best way for the nurse to respond to her is by A. encouraging a discussion of her problems and fears. B. asking her if she would like to talk to the chaplain. C. giving her reassurance. D. recommending a support group.
单选题Which intervention will best help to prevent a client from falling? A. Monitor the client regularly or continually if his condition warrants it. B. Keep the bed at a level where the nurse can easily provide care. C. Make sure the side rails of the client's bed are down. D. Restrain the client to prevent him from getting out of bed and falling.
单选题Many clients on the eating disorders unit have been admitted for anorexia nervosa. The signs and symptoms that would be most specific for this diagnosis are A．Slow pulse, 10% weight loss, and alopecia B．Compulsive behaviors, excessive fears, and nausea C．Excessive activity, memory lapses, and an increased pulse D．Excessive weight loss, amenorrhea, and abdominal distention
单选题A client asks the nurse to help her make out her will. In this
situation, what should be the nurse's best response?
A. "I don't believe in getting involved in legal matters, but maybe I can
find another nurse who'll help you. "
B. "You need to consult an attorney because I'm not trained in such matters.
Is there a family lawyer I can call for you?"
C. "I'm not a lawyer, but I'll do what I can for you. "
D. "You have a long way to go before you'll need to do that. Let's wait on
it a while, shall we?"
单选题Signs and symptoms of retinal detachment include which of the following? A. Painless decrease in vision, a veil over the visual field, and flashing lights. B. A veil over the visual field, increased intraocular pressure, and yellow-green halos around visual images. C. Photophobia, yellow-green halos around visual images, and blurred vision. D. Unilateral eye inflammation, a cloudy cornea, and a moderately dilated pupil.
单选题Following a cystoscopy that confirmed a diagnosis of bladder cancer, a client is scheduled for chemotherapy and a ileal conduit urinary diversion. The nurse should include which of the following points in the client's preoperative teaching
单选题The mother of a 9-month-old asks about adding new foods to his diet. The child is being breast-fed and takes formula and cereal when at the sitter's. Which of the following would the nurse instruct the mother to do
单选题The nurse is caring for a client whom she suspects is paranoid. How would the nurse confirm this assessment? A. Indirect questioning. B. Direct questioning. C. Lead-in sentences. D. Open-ended sentences.
单选题The nurse teaches a client about the relationship between body position and gastroesophageal reflux. Which of the following statements by the client would indicate that he understands measures to avoid problems with reflux while sleeping? A. "I can elevate the head of the bed 4 to 6 inches. " B. "I can elevate the foot of the bed 4 to 6 inches. " C. "I can sleep on my back without a pillow under my head. " D. "I can sleep on my stomach with my head turned to the left. /
单选题Which of the following postoperative complications would the nurse particularly anticipate in a client undergoing a pelvic surgical procedure such as an ileal conduit? A. Bleeding. B. Infection. C. Thrombophlebitis. D. Atelectasis.
单选题A 4-year-old girl is admitted to the hospital to rule out leukemia. Which of the following would be the best room assignment? A. With a 4-year-old girl who has rheumatoid arthritis. B. With a 5-year-old boy who is having a tonsillectomy. C. With a 4-year-old girl who has leukemia. D. Alone in a private room.
单选题A high school student is referred to the school nurse for suspected substance abuse. Following the nurse's assessment and interventions, what would be the most desirable outcome ？（）
单选题A 28-year-old accountant is admitted to the neurologic unit after a sudden onset of blindness the day before an important project is due for her boss. After preliminary evaluation and testing yields no positive findings, the physician's initial reaction is that the client may be demonstrating which defense mechanism? A. Repression. B. Transference. C. Reaction formation. D. Conversion.
单选题Which of the following is a actor indicating high risk or vulnerability to schizophrenia? A．Hyperactivity in the preschool age B．Presence of intimate peer relationships during early adolescence C．Loss of a loving one D．Disorganized, disruptive families
单选题Mr. Cooney is an 85-year-old male patient in advanced stages of pneumonia with a no-code order in his chart. Which of the following nursing care actions will help establish a trusting nurse-patient relationship? A．The nurse should not express his own fears about death in order to better concentrate on the patient's needs B．The nurse should reduce verbal and nonverbal contact with the patient to avoid confusing him C．The Nurse should encourage family members to assist in his nursing care D．The nurse should arrange a visit from a spiritual advisor against the patient's wishes to provide hope in the face of death
单选题When caring for a client who has recently delivered, the nurse assesses the client for urinary retention with overflow. Which of the following provides the most accurate picture of retention with overflow? A. Frequent trips to the bathroom with an average output of 200 to 300 mL per void. B. Intense urge to urinate with an average output of 250 mL. C. A varying urge to urinate with an average output of 100 mL. D. Uterus displaced to the right with increased vaginal bleeding.
单选题A 68-year-old male client has been hospitalized repeatedly for chronic obstructive pulmonary disease (COPD). During this latest admission, he has refused to participate in his self-care. Every time the nurse approaches him, the client states, "I just want to die. I'm no good to anyone anymore. " The nurse realizes that he's experiencing A. self-actualization. B. confabulation. C. reaction formation. D. grief.
单选题The nurse is planning care for a female client diagnosed with acute hepatitis A virus (HAV). What's the primary mode of transmission for HAV? A. Fecal contamination and oral ingestion. B. Exposure to contaminated blood. C. Sexual activity with an infected partner. D. Sharing a contaminated needle or syringe.