单选题Which finding is considered normal in a neonate during the first few days after birth? A. Weight loss of 25%. B. Birth weight of 2,000 to 2,500 g. C. Weight loss then return to birth weight. D. Weight gain of 25%.
单选题A hospitalized client craves a drink while withdrawing from alcohol. Which of the following measures is the best way to help the client resist the urge to drink? A. A routine search of visitors. B. A locked-door policy. C. One-to-one supervision by the staff. D. Support from other alcoholic clients.
单选题Which of the following case meets the criteria for involuntary commitment? A. A single parent who leaves her minor children unattended and stays out all night drinking. B. A person who lives alone and isn't able to care for himself and has schizophrenia with delusions of persecution. C. A man who threatens to kill his wife. D. A person with depression who says he's tired of living but doesn't have a suicide plan.
单选题Which of the following signs or symptoms would the nurse expect to see in a client with pancreatitis? A. Bradycardia. B. Hypertension. C. Decreased white blood cell count. D. Left upper quadrant abdominal pain.
单选题A 2-month-old neonate with diarrhea and vomiting has been receiving IV fluids for the past 24 hours. The specific gravity of the neonate's urine is 1.012. What should the nurse do next? A. Check the neonate's blood pressure. B. Check the specific gravity again as soon as possible. C. Notify the physician. D. Continue the ordered IV flow rate.
单选题A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client（）
单选题Whenassessinganinfantforchangesinintracranialpressure(ICP),it'simportanttopalpatethefontanels.Wherethenurseshouldpalpatetoassesstheanteriorfontanel?A.AB.BC.CD.D
单选题The nurse is aware that the major health complication associated with severe anorexia nervosa is A．Protein depletion resulting in muscle wasting B．Endocrine imbalance resulting in amenorrhea C．Glucose intolerance resulting in hypoglycemia D．Cardiac dysrhythmias resulting in cardiac arrest
单选题Which of the following activities should the nurse discourage the client with a peptic ulcer? A. Chewing gum. B. Smoking cigarettes. C. Eating chocolate. D. Taking acetaminophen (Tylenol).
单选题The client is taking triamcinolone acetonide (Azmacort) inhalant to treat her bronchial asthma. Which of the following conditions is the client at increased risk for developing while taking this medication
单选题The nurse is giving instructions to a client who is going home with a cast on his leg. Which point is most critical ？（）
单选题A client exhibits confusion and severe memory loss. At 11:30 AM, he tells the nurse that he is going to work and proceeds to walk toward the door. Which of the following actions should be the nurse take? A. Remind him that he retired from his job 10 years ago. B. Tell him that she'll accompany him for a short walk outdoors. C. Divert his attention toward the dining room where lunch is being served. D. Tell him that he does not have to go to work today.
单选题A 14-year-old female client in skeletal traction for treatment of a fractured femur is expected to be hospitalized for several weeks. When planning care, the nurse should take into account the client's need to achieve what developmental milestone ？（）
单选题The mother of a 1B-year-old girl calls the emergency department, suspecting her daughter's abdominal pain may be appendicitis. In addition to pain, her daughter has a fever of 100°F (37.8℃) and has vomited twice. What should the nurse tell the mother? A. Give the daughter a laxative to rule out the possibility that constipation is causing the pain. B. Gently press on the left lower quadrant of her daughter's abdomen to test for rebound tenderness. C. It's most likely the flu because her daughter is too young to have appendicitis. D. Immediately bring her daughter into the emergency department before the appendix has a chance to rupture.
单选题When planning care for a 7-year-old boy with Down syndrome, the nurse
should
A. plan interventions at the developmental level of a 7-year-old child
because that is the child's age.
B. plan interventions at the developmental level of a 5-year-old because the
child will have developmental delays.
C. assess the child's current developmental level and plan care
accordingly.
D. direct all teaching to the parents because the child can't
understand.
单选题The nurse is teaching the client how to use a cane. Which of the following statements is most inaccurate? A. The client should hold the cane on the involved side. B. The client should hold the cane close to his body. C. The stride length and the timing of each step should be equal. D. The nurse should stand behind the client to prevent falls.
单选题The client with a head injury receives mannitol (Osmitrol) during surgery to help decrease intracranial pressure. Which of the following nursing observations would most likely indicate that the drug is having the desired effect? A. Urine output increases. B. Pulse rate decreases. C. Blood pressure decreases. D. Muscular relaxation increases.
单选题A client diagnosed as having panic disorder with agoraphobia is
admitted to the inpatient psychiatric unit. Until her admission, she had been a
virtual prisoner in her home for 5 weeks, afraid to go outside even to buy food.
Which of the following should be the nurse's overall goal of care?
A. To help the client perform self-care activities.
B. To help the client function effectively in her environment.
C. To help control the client's symptoms.
D. To help the client participate in group therapy.
单选题Directions. The question below is followed by six choices numbered 260-265. If a choice is correct, mark A in the space provided. If a choice is not correct, mark B. Blacken one circle on your answer sheet for each number. While providing care to a 26-year-old married female, the nurse notes multiple ecchymotic areas on her arms and trunk. The color of the ecchymotic areas ranges from blue to purple to yellow. When asked by the nurse how she got these bruises, the client responds, "Oh, I tripped. " How should the nurse respond?
单选题A 26-year-old primigravida is in labor. Her cervix is 5 cm dilated and 75% effaced; the fetus is at 0 station. The client requests medication to relieve the discomfort of contractions, and the physician prescribes an epidural regional block. What position should the nurse help the client to assume when the epidural is administered? A. Lithotomy. B. Supine. C. Prone. D. Lateral.