单选题A client at term arrives at the labor room experiencing contractions every 4 minutes. After a brief assessment, she's admitted and an electronic fetal monitor is applied. Which of the following would alert the nurse to an increased potential for fetal distress? A. Weight gain of 30 lb (13.6 kg). B. Maternal age of 32 years. C. Blood pressure of 146/90 mmHg. D. Treatment for syphilis at 15 weeks' gestation.
单选题The nurse is teaching a female client with osteoporosis about her prescribed diet. Which of the following foods is the best source of calcium? A. 1 cup of low-fat yogurt. B. 1 cup of skim milk. C. 1 oz of cheddar cheese. D. 1 cup of ice cream.
单选题A client with myocardial infarction and cardiogenic shock is placed in an intra-aortic balloon pump (IABP). If the device is functioning properly, the balloon inflates when the A. triseupid valve is closed. B. pulmonic valve is open. C. aortic valve is closed. D. mitral valve is closed.
单选题Which one of the following nursing interventions should be included in a plan of care for a client with a T tube? A. Maintain client in a supine position while T tube is in place. B. Keep T tube clamped except for during mealtimes. C. Inspect skin around the T tube daily for irritation. D. Irrigate the T tube every 4 hours to maintain patency.
单选题A client with chronic obstructive pulmonary disease (COPD) and cor pulmonale is being prepared for discharge. The nurse should provide which instructions? A. "Weigh yourself daily and report a loss of 1 lb in 1 day. " B. "Eat a high-sodium diet. " C. "Weigh yourself daily and report a gain of 2 lb in 1 day. " D. "Maintain bedrest. /
单选题The nurse is teaching the parents of a school-age child. Which teaching topic should take priority? A. Preventing accidents. B. Keeping a night light on to allay fears. C. Explaining normalcy of fears about body integrity. D. Encouraging the child to dress without help.
单选题The plan of care for a client with hypertension taking propranolol hydrochloride would include which of the following
单选题The nurse is assessing a client who gave birth yesterday. Where should the nurse expect to find the top of the client's fundus ？（）
单选题A client being evaluated in the emergency department complains of chest pain that radiates to his neck, shoulders, back, and arms, which decreases when he sits up and leans forward. Based on this assessment, the nurse suspects that he has
单选题During the first 48 to 72 hours of fluid resuscitation therapy after a major burn injury, the intravenous infusion rate will be adjusted by evaluating which of the following observation? A. Daily body weight. B. Hourly urine output. C. Hourly urine specific gravity. D. Hourly body temperature.
单选题The nurse is caring for a 45-year-old male client admitted with a retinal detachment in his left eye. What symptoms would the nurse expect to find during assessment? A. Flashing lights in the visual field. B. Sudden eye pain. C. Loss of color vision. D. Colored halos around lights.
单选题Projection A．Makes threatening material unavailable for recall B．Involves casting our unacceptable traits onto other people C．Allows us to excuse unacceptable behavior D．Produces behavior designed to reverse the effects of undesirable behavior
单选题A child with leukemia presents with peteehiae; gums, lips, and nose that bleed easily; and bruising on various parts of her body. Which of the following laboratory test results would the nurse correlate with these findings? A. Platelet count of 80×103/mm3. B. Serum calcium level of 5 mg/dL. C. Fibrinogen level of 75 mg/dL. D. Partial thromboplastin time (PTT) of 38 seconds.
单选题A client demonstrating manic behavior is elated and sarcastic. The client is constantly cursing and using foul language and has the other clients on the unit terrified. The nurse should A．Firmly tell the client that the behavior is unacceptable B．Demand that the client stop the behavior immediately C．Ask the client to identify, what is precipitating the behavior D．Increase the client's medication or get additional medication ordered
单选题The nurse would teach the client to implement which of the following nasal care measures after the nasal packing is removed? A. Irrigate the nares with normal saline solution daily. B. Remove old blood from inside the nares with cotton-tipped applicators. C. Avoid cleaning the nares for at least 2 days. D. For comfort lubricate the membranes with a water-soluble lubricant.
单选题In the management planning of a patient with a delusional disorder, the nursing goals would include that the patient will A．Develop a trusting relationship with the nurse B．Decrease the frequency of delusional content in his speech C．Ingest medications and nutrition and socialize with the nurse and others D．All of the above
单选题A client, a gravida 3 para 2 at 35 weeks' gestation, comes in to the antepartum clinic for a check-up. She has been experiencing backaches after standing all day at her job as a grocery clerk. Which of the following exercise would the nurse suggest to relieve backache? A. The pelvic tilt. B. Squatting. C. Stretching. D. Walking.
单选题A client is taking spironolactone (Aldactone) to control her hypertension. Her serum potassium level is 6 mEq/L. For this client, the nurse’s priority would be to assess her（）
单选题The nurse is evaluating a client's lung sounds. Which of the following breath sounds indicate adequate ventilation when auscultated over the lung fields? A. Vesicular. B. Bronchial. C. Bronchovesicular. D. Adventitious.
单选题Mark is a boy who is afraid of a lot of things. One day, his mather calls the community mental health clinic and tells the nurse that Mark has suddenly become terrified of getting into the family car, refuses to do so, and is in the yard screaming uncontrollably. what would it be BEST for the nurse to tell Ms. Levine to do FIRST? A．Hold Mark snugly and talk softly to him B．Give Mark a warm bath and put him to bed C．Bring Mark to the clinic as soon as possible D．Remind Mark that he has never before been afraid of automobiles