单选题A client diagnosed with gestational diabetes has been admitted for induction of labor at 38 weeks. The client asks the nurse, "My previous labors started on their own. How will this induction of labor be different from my last labor?" Upon which theory would the nurse base her response? A. An induction causes the contractions to be more intense during the first stage of labor. B. The risk of uterine rupture is less because the oxytocin (Pitocin) is controlled with an infusion pump. C. The goal of induction is to produce a contractile pattern similar to that observed in spontaneous labor. D. During an induction, fetal monitoring begins as soon as oxytocin is started, whereas in a spontaneous labor, monitoring begins when signs of distress occur.
单选题While making rounds in a senior citizens' housing complex, the visiting nurse discovers one of her clients sobbing in her darkened apartment. On questioning the client, an 85- year-old widow, the nurse learns that her pet cat of 15 years had been put to sleep the day before. What's the nurse's best response? A. "It shouldn't be hard to find another cat. You'll feel better once you have another pet. " B. "It was only a cat. Why are you allowing yourself to be so upset? It would be different if it were a person. " C. "I'm so sorry that your pet had to be put to sleep. I know how important your cat was to you. " D. "It's probably best for the cat because it was so old and ill. /
单选题After cancer chemotherapy, a client develops nausea and vomiting. For this client, the nurse should give the highest priority to which action in the plan of care? A. Serve small portions of bland food. B. Encourage rhythmic breathing exercise. C. Administer metoclopramide (Reglan) and dexamethasone (Decadron) as prescribed. D. Withhold fluids for the first 4 to 6 hours after chemotherapy administration.
单选题A 23-year-old primigravida client has a normal vaginal delivery. The next day, the nurse assesses the client's lochia for color, amount, and the presence of clots. Which of the following best describes lochia on the first postpartum day? A. Dark red (loehia rubra), large amount, with many clots. B. Pink (lochia serosa), moderate amount, no clots. C. White (lochia alba), scant amount, no clots. D. Dark red (lochia rubra), moderate amount, with a few small clots.
单选题A 15-year-old boy is admitted to the health care facility after acting out his aggressions inappropriately at school. Predisposing factors to the expression of aggression include which of the following? A. Violence on television. B. Passive parents. C. An internal locus of control. D. A single-parent family.
单选题The nurse assesses the client to determine the cause of autonomic dysreflexia. Which of the following is the most common stimulus for an autonomic dysreflexia episode? A. Rising intracranial pressure. B. Bowel distention. C. Bladder distention. D. Anxiety.
单选题A client is to have a cesarean delivery because of continuous vaginal bleeding and an abnormal fetal heart rate tracing. Which of the following would be the best preoperative medication for this client（）
单选题The nurse is caring for a client who is in labor. The physician still isn't present. After the neonate's head is delivered, which nursing intervention would be most appropriate? A. Checking for the umbilical cord around the neonate's neck. B. Placing antibiotic ointment in the neonate's eyes. C. Turning the neonate's head to the side, to drain secretions. D. Assessing the neonate for respirations.
单选题The nurse is performing wound care. Which of the following practices
violates surgical asepsis?
A. Holding sterile objects above the waist.
B. Considering a 1" (2.5 cm) edge around the sterile field as being
contaminated.
C. Pouring solution onto a sterile field cloth.
D. Opening the outermost flap of a sterile package away from the
body.
单选题To increase the self-esteem of a client with schizophrenia, the nurse should plan to A．Reward healthy behaviors B．Identify various means of coping C．Encourage good hygiene and grooming D．Explain the diagnosis and treatment plan
单选题The nurse is providing care for a pregnant client. The client asks the nurse how she can best deal with her fatigue. The nurse should instruct her to A. take sleeping pills for a restful night's sleep. B. try to get more rest by going to bed earlier. C. take her prenatal vitamins. D. tell her not to worry because the fatigue will go away soon.
单选题The nurse is teaching a new group of mental health aides. The nurse should teach the aides that setting limits is most important for（）
单选题A psychiatric client who was voluntarily admitted now wishes to be discharged from the hospital, against medical advice. What's the most important assessment the nurse should make of the client? A. Ability to care for himself. B. Degree of danger to self and others. C. Level of psychosis. D. Intended compliance with aftercare.
单选题A 35-year-old female client who complains of weight gain, facial hair, absent menstruation, frequent bruising, and acne is diagnosed with Cushing's syndrome. Cushing's syndrome is most likely caused by which of the following? A. An ectopic corticotropin-secreting tumor. B. Adrenal carcinoma. C. A corticotropin-secreting pituitary adenoma. D. An inborn error of metabolisrn.
单选题A client with schizophrenia hears a voice telling him he is evil and must die. The nurse understands that the client is experiencing
单选题The most common symptom associated with bladder cancer is A. burning on urination. B. frequent infections. C. painless hematuria. D. decreasing urine output.
单选题When a six-year-old girl who is suspected of being sex abused refuse to be examined by an emergency nurse, what's the best appropriate response by the nurse? A．Ask another nurse in emergency room to examine her B．Refer the child to a clinician expert in the examination and care of the sexually abused child or adolescent C．Carefully explain to the girl why she need be examined D．Call the local child protective service
单选题A client is diagnosed with hyperthyroidism. The nurse should expect clinical manifestations similar to A. hypovolemic shock. B. adrenergic stimulation. C. benzodiazepine overdose. D. Addison's disease.
单选题The nurse is admitting a client with a suspected fluid imbalance. The most sensitive indicator of body fluid balance is （）.
单选题Emergency restraints or seclusion may be implemented without a physician's order under which of the following conditions? A. When a written order will be obtained from the primary physician within 1 hour. B. If a voluntary client wants to leave against medical advice. C. When a minor child is out of control. D. Never.