单选题An infant left to cry in her crib for long periods of time might, according to Erickson, develops A．Autonomy B．Guilt C．Trust D．Mistrust
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? A. Nonstress testing is performed weekly until 32 weeks' gestation. B. Weekly fetal movement counts are made by the mother. C. Contraction stress testing is performed weekly. D. Induction of labor is begun at 34 weeks' gestation.
单选题A client delivered a healthy full-term female neonate 2 hours ago by cesarean delivery. When assessing this client, which finding requires immediate nursing action? A. Tachycardia and hypotension. B. Gush of vaginal blood when the client stands up. C. Blood stain 2" (5 cm) in diameter on the abdominal dressing. D. Complaints of abdominal pain.
单选题For the past few days, a client has been having calf pain and notices that the painful calf is larger than the other one. The right calf is red, warm, achy, and tender to touch. Which of the following questions about the pain should the nurse include in the assessment? A. "Does the pain worsen in the morning upon rising?" B. "Does the pain increase with activity and lessen with rest?" C. "Is the pain relieved by position changes?" D. "Is the pain worse with the toes pointed toward the knee?/
单选题A disturbed client is scheduled to begin group therapy. The client
refuses to attend. The nurse should
A.Accept the client's decision without discussion
B.Have another client ask the client to reconsider
C.Tell the client that attendance at the meeting is required
D.Insist that the client join the group to help the socialization
process
单选题A client who has been admitted to the emergency room is restless and agitated, has dry mucous membranes, and is complaining of intense thirst. The nurse suspects which of the following electrolyte imbalances? A. Hypokalemia. B. Hypercalcemia. C. Hypomagnesemia. D. Hypernatremia.
单选题A nurse needs assistance transferring an elderly, confused client to bed. The nurse leaves the client to find someone to assist her with the transfer. While the nurse is gone, the client falls and hurts herself. The nurse is at fault because she hasn't A. properly educated this client about safety measures. B. restrained the client. C. documented that she left the client. D. arranged for continual care of the client.
单选题What is the normal pH range for arterial blood
单选题Which of the following nursing interventions is most important postoperatively for an infant who has received a ventriculoperitoneal shunt
单选题A client with cirrhosis should be encouraged to follow which of the following diet regime? A. High-calorie, restricted protein, low-sodium diet. B. Bland, low-protein, low-sodium diet. C. Well-balanced normal nutrients, low-sodium diet. D. High-protein, high-calorie, high-potassium diet.
单选题Assessment of a client in active labor reveals meconium-stained
amniotic fluid and fetal heart sounds in the upper right quadrant. Which of the
following is the most likely cause of this situation?
A. Breech position.
B. Late decelerations.
C. Entrance into the second stage of labor.
D. Multiple gestation.
单选题The parents of a child being discharged from the day surgery center after insertion of tympanostomy tubes ask the nurse. "What will happen to the tubes in my child's ears?" Which of the following would be the nurse's best response? A. "The tubes usually dissolve on their own in about 1 year. " B. "The tubes must remain permanently in place. " C. "You'll probably see them fall out in about 6 months. " D. "Call for an appointment to have them removed in about 6 months. /
单选题The nurse is caring for a client with an acute bleeding cerebral aneurysm. Which of the following activities is not appropriate in nursing care? A. Position the client to prevent airway obstruction. B. Keep the client in one position to decrease bleeding. C. Administer IV fluid as ordered and monitor the client for signs of fluid volume excess. D. Maintain the client in a quiet environment.
单选题A 15-year-old primigravida gave birth 2 days ago. She tells the nurse that having her own little baby will be wonderful. Which nursing response would best evaluate the accuracy of the client’s expectations（）
单选题The nurse is providing care to a 5-year-old client with a fractured femur whose nursing diagnosis is Imbalanced nutrition: less than body requirements related to impaired physical mobility. Which of the following is most likely to occur with this condition? A. Decreased protein catabolism. B. Increased calorie intake. C. Increased digestive enzymes. D. Increased carbohydrate need.
单选题The major goal of therapy in crisis intervention is to A. withdraw from the stress. B. resolve the immediate problem. C. decrease anxiety. D. provide documentation of events.
单选题An 18-month-old child is brought to the emergency department with suspected croup. The child appears frightened and cries as the nurse approaches him. The nurse needs to assess the child's breath sounds. The best way to approach the child is to A. expose the child's chest quickly and auscultate breath sounds as quickly and efficiently as possible. B. ask the mother to wait briefly outside until the assessment is over. C. tell the child the nurse is going to listen to his chest with the stethoscope. D. allow the child to handle the stethoscope before listening to his lungs.
单选题The nurse is developing a care plan for a client in her 34th week of gestation who is experiencing premature labor. What nonpharmacologic intervention should the plan include to halt premature labor
单选题A client who is breast-feeding has a temperature of 102°F (38.9℃) and complains that her breasts are engorged. Her breasts are swollen, hard, and red. Which of the following actions would be inappropriate in managing the client's breast engorgement? A. Applying frozen cabbage leaves to the breasts. B. Encouraging the client to shower with her back to the water. C. Encouraging the client to nurse her baby frequently. D. Applying a breast binder to support the breasts.
单选题A nurse is caring for a client with a history of GI bleeding, sickle cell disease, and a platelet count of 22,000/μL. The client is dehydrated and receiving dextrose 5% in half-normal saline solution at 150mL/hr. He reports severe bone pain and is scheduled to receive a dose of morphine sulfate. In administering the medication, the nurse should avoid which route? A. Oral. B. IV. C. IM. D. Subcutaneous (SC).