单选题Which of the following is the most appropriate activity for the nurse to assess motor strength for a neurologically injured client? A. Compare equality of hand grasps. B. Observe spontaneous movements. C. Observe the client feed himself. D. Ask the client to signal if he feels pressure applied to his feet.
单选题A multigravida at 36 weeks' gestation visits the emergency department
because her boyfriend has beaten her severely. What should the nurse do first?
A. Contact the authorities.
B. Ensure the client's safety.
C. Identify a support person.
D. Photograph the client's injuries.
单选题A client, age 59, complains of leg pain brought on by walking several blocks--a symptom that first arose several weeks ago. The client's history includes diabetes mellitus and a two-pack-a-day cigarette habit for the past 42 years. The physician diagnoses intermittent claudication and prescribes pentoxifylline (Trental), 400 mg three times daily with meals. The nurse should provide which instruction concerning long-term care? A. "Practice meticulous foot care. " B. "Consider cutting down on your smoking. " C. "Reduce your level of exercise. " D. "See the physician if complications occur. /
单选题The nurse is caring for a client with acute osteomyelitis in the right tibia. Which of the following measures is most appropriate when repositioning the client's leg? A. Hold the leg by the ankle when repositioning to avoid touching the tibia. B. Support the leg above and below the affected area when positioning. C. Have the client move the leg by himself to decrease pain. D. Apply warm moist compresses to the leg before repositioning.
单选题The nurse is preparing to begin one-person cardiopulmonary resuscitation. The nurse should first A. establish unresponsiveness. B. call for help. C. open the airway. D. assess the client for a carotid pulse.
单选题The nurse is reviewing discharge instructions with a client after an uncomplicated delivery. Which of the following symptoms is LEAST important in characterizing postpartum depression? A. Crying easily and feeling despondent. B. Loss of appetite and anxiety. C. Altered body image. D. Difficulty sleeping and poor concentration.
单选题A 35-year-old multigravida at 16 weeks gestation tells the nurse that she has had frequent mood swings during this pregnancy. What would be the nurse's best suggestion to the client
单选题A 70-year-old client with a diagnosis of left-sided cerebrovaseular accident is admitted to the facility. To prevent the development of disuse osteoporosis, which of the following objectives is most appropriate? A. Maintaining protein levels. B. Maintaining vitamin levels. C. Promoting weight-bearing exercises. D. Promoting range-of-motion (ROM) exercises.
单选题Two middle-aged sisters have been diagnosed with Huntington's disease. The children of these clients want to know what their chances are of developing this genetic disorder. The nurse's best response would be.
单选题Which of the following findings is suggestive of myocardial infarction (MI)? A. Below-normal erythrocyte sedimentation rate. B. Elevated white blood cell count. C. Elevated serum cholesterol value. D. Elevated creatine phosphokinase (CPK) value.
单选题When interviewing a patient with BPD, an attending nursing should assess whether the patient has a risk to suicide. The risk factors she should collect including the followings except A．Physiologic and self-care considerations B．Emotional antecedents C．Abuse history D．Working performance
单选题The nursing care plan for a client after gynecologic surgery includes nursing orders intended to help reduce the risk of thrombophlebitis. Which is not appropriate among the following nursing interventions? A. Ambulate the client. B. Massage the client's legs. C. Have the client wear elasticized stockings. D. Have the client perform range-of-motion exercises in bed.
单选题The physician orders a tricyclic antidepressant for a client who has suffered an acute myocardial infarction (MI) within the past 6 months. The nurse should take which of the following actions? A. Administer the medication as ordered. B. Discontinue the medication. C. Question the order with the physician. D. Inform the client that he should discuss the MI with the physician.
单选题Which nursing diagnosis would the nurse anticipate as having the highest priority for the client with gestational diabetes in labor? A. Risk for infection related to invasive procedures during labor. B. Risk for injury to fetus related to the effects of diabetes on uteroplacental functioning. C. Deficient knowledge related to lack of information about care during labor. D. Interrupted family processes related to diabetes increasing the client's risk of complications.
单选题Physical assessment findings in the eyes of elderly people may include A. decreased lens thickness. B. decreased visual acuity. C. lightening of the skin around the orbits. D. unequal pupillary light reflex.
单选题Before undergoing a subtotal thyroidectomy, a client receives potassium iodide (Lugol's solution) and propylthiouracil (PTU). The nurse would expect the client's symptoms to subside A. in a few days. B. in 3 to 4 months. C. immediately. D. in 1 to 2 weeks.
单选题Which of the following observations indicates that the mother of a child receiving home intravenous ampicillin therapy requires further teaching? A. The mother allows the antibiotic to run into the child's vein over a period of 30 minutes. B. The mother flushes the venous access site with heparin 20 minutes after giving the antibiotic. C. The mother stops the infusion when the area around the insertion site becomes hard and reddened. D. The mother calls the home care nurse because the antibiotic solution will not infuse.
单选题A client with Hashimoto's thyroiditis and a history of two myocardial infarctions and coronary artery disease is to receive levothyroxine (Synthroid). Because of the client's cardiac history, the nurse would expect that the client's initial dose for the thyroid replacement would be which of the following? A. 25 g/day, initially. B. 100 g/day, initially. C. Delayed until after thyroid surgery. D. Initiated before thyroid surgery.
单选题To help promote independence in the area of feeding for a school-aged child in skeletal traction, the nurse would help the child choose which of the following meals? A. Carrot sticks, celery with cream cheese, roast beef and gravy, peas, gelatin, and milk in a cup. B. Chicken noodle soup with crackers, grilled cheese sandwich, cole slaw, and chocolate milk in a carton. C. Chicken nuggets with sauce, carrot sticks, French-fried potatoes, ice cream sandwich, and milk in a carton. D. Spaghetti and meat sauce, cherry cobbler, and apple juice in a can.
单选题The nurse is caring for a client who underwent a total hip replacement. What should the nurse and other caregivers do to prevent dislocation of the new prosthesis ？（）