单选题When a client experiences a loss of vibratory sense on examination, this indicates
单选题A 2-year-old client returns from surgery after a bowel resection as a result of Hirschsprung's disease. A temporary colostomy is in place. Which immediate postoperative nursing intervention takes priority? A. Changing the surgical dressing. B. Suctioning the nasopharynx frequently to remove secretions. C. Irrigating the colostomy with 100 ml of normal saline solution. D. Auscultating lung sounds.
单选题Which of the following situations is more likely to predispose a client to postpartum hemorrhage? A. Birth of a 7 lb (3,175g) infant. B. Prolonged first stage of labor. C. Pregnancy-induced hypertension (PIH). D. Birth of twins.
单选题The nurse is caring for a client who is experiencing sinus bradycardia with a pulse rate of 40 beats/minute. His blood pressure is 80/50 mmHg and he complains of dizziness. Which medication would be used to treat his bradycardia? A. Atropine. B. Dobutamine (Dobutrex). C. Bretylium (Bretylol). D. Lidocaine (Xylocaine).
单选题Which of the following nursing measures would be most important to decrease the risk of a surgical wound infection in a client with an internal fixation and hip pinning? A. Inserting an indwelling urinary catheter to prevent possible soiling of the dressing. B. Accurately measuring drainage from the surgical drainage tube. C. Changing the surgical dressings using strict sterile technique. D. Monitoring the incision for signs of redness, swelling, and warmth.
单选题Which of the following functions would the nurse expect to be unrelated to the placenta? A. Production of estrogen and progesterone. B. Detoxification of some drugs and chemicals. C. Exchange site for food, gases, and waste. D. Production of maternal antibodies.
单选题When planning activities for a withdrawn, hallucinatory client, the nurse should recognize that it would be most therapeutic for the client to A．Go for a walk with the nurse B．Watch a movie with other clients C．Play cards with a group of clients D．Play solitaire alone in the dayroom
单选题What is the normal pH range for arterial blood? A. 7.00 to 7.49. B. 7.35 to 7.45. C. 7.50 to 7.60. D. 7.55 to 7.65.
单选题According to Kohlberg, postconventional morality involves A．Unquestioning obedience to authority figures B．Affirmation of self-defined ethical principles C．Strong concern for social approval D．Behavior based on self-interest
单选题Which of the following nursing diagnoses would be most appropriate for a client newly diagnosed with non-insulin-dependent diabetes mellitus? A. Risk for infection related to newly diagnosed diabetes. B. Altered nutrition, more than body requirements related to overproduction of insulin. C. Altered health maintenance related to lack of knowledge of proper foot care. D. Pain related to elevated blood glucose levels.
单选题A 68-year-old woman is admitted to the general surgical unit for removal of a breast mass malignancy. In the presurgical assessment of the client, which of the following choices would be most appropriate for the nurse to ask when assessing her self-concept? A. "Let's talk about what you'd like to do that you haven't done. " B. "List for me your accomplishments and achievements in life. " C. "Tell me how this breast surgery will make you feel about yourself. " D. "What does your husband say when he compliments you?/
单选题A 78-year-old client with sensorineural hearing loss is admitted to a rehabilitation center after hip replacement surgery. A risk factor for this client would be A. altered perceptions. B. toxic levels of pain medication. C. impaired cognitive function. D. impaired sense of time.
单选题The nurse is caring for a client who underwent a subtotal gastrectomy. To manage dumping syndrome, the nurse should advise the client to A. restrict fluid intake to 1 qt (1,000 mL)/day. B. drink liquids only with meals. C. don't drink liquids 2 hours before meals. D. drink liquids only between meals.
单选题The nurse is caring for a client undergoing IV antibiotic therapy with gentamicin sulfate. Which of the following interventions is most important（）
单选题An assisted birth using forceps or a vacuum extractor may be performed for ineffective pushing, for large neonates, to shorten the second stage of labor, or for a malpresentation. When caring for the mother following an assisted birth, the nurse should keep which of the following in mind? A. A vacuum extractor is safer than forceps because it causes less trauma to the neonate and the mother's perineum. B. The neonate will develop a cephalohematoma as a result of the instrumentation. C. The use of instruments during the birth process is a fairly rare occurrence. D. Additional nursing interventions are needed to ensure an uncomplicated postpartum.
单选题An adolesent who is extremely underweight talks constantly about being fat, refuse to eat hardly any food, and disppears into the bathroom after meals, angrily says to the nurse, "I don't need to be here. I don't have any problems. Stop watching me. " To reduce the client's feeling of being threatened, the nurse would be most therapeutic by responding A．"I hear how frustrated you are to be here. " B．"If you do not follow the rules you will lose your privileges. " C．"Your feeling are part of your illness. You will feel different. " D．"1'11 get you the medication your physician ordered for anxiety. /
单选题Which of the following would the nurse expect to include in the plan of care for a client with diabetes who is in labor? A. Measuring urine output every 4 hours. B. Monitoring blood glucose levels every hour. C. Administering insulin subcutaneously every 4 hours. D. Checking deep tendon reflexes every 2 hours.
单选题Which of the following would be least likely to indicate anticipated bonding behaviors by new parents? A. The parents' willingness to touch and hold the neonate. B. The parents' expression of interest about the size of the neonate. C. The parents' indication that they want to see the neonate. D. The parents' interactions with each other.
单选题A client with left-sided heart failure complains of increasing shortness of breath and is agitated and coughing up pink-tinged, foamy sputum. The nurse should recognize these as signs and symptoms of A. right-sided heart failure. B. acute pulmonary edema. C. pneumonia. D. cardiogenic shock.
单选题While evaluating the needs of a client during the second trimester, the nurse can anticipate which of the following（）