单选题A manic episode consists of a group of characteristic symptoms accompanying an abnormal mood that is predominantly euphoric, expansive, or irritable. DSM-Ⅲ-R diagnostic criteria for manic episodes include all of the following EXCEPT A．Rapid shifts to anger or even short-lived spells of depression B．Increased psychomotor activity and restlessness with flight of ideas and racing thoughts C．Most of the symptoms present most of the time for at least six weeks D．Mood disturbances sufficiently severe to cause marked impairment in occupational functioning or in usual social activities
单选题The client with a lumbar laminectomy asks to be turned onto his side. What should the nurse do? A. Inform the client that because of his laminectomy, he may only lie supine. B. Ask the client to help by using an overhead trapeze to turn himself. C. Turn the client's shoulders first, followed by his hips and legs. D. Get another nurse to help log roll the client into position.
单选题To check for arterial insufficiency when a client is in a supine position, the nurse should elevate the extremity at a 45-degree angle and then have the client sit up. The nurse suspects arterial insufficiency if the assessment reveals which of the following? A. Elevational rubor. B. No rubor for 10 seconds after the maneuver. C. Dependent pallor. D. A 30-second filling time for the veins.
单选题A client with a spinal cord injury and subsequent urine retention receives intermittent catheterization every 4 hours. The average catheterized urine volume has been 550mL. What should the nurse do
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
单选题When examining school-age and adolescent children, the nurse routinely screens for scoliosis. Which statement accurately summarizes how to perform this screening? A. Have the child stand firmly on both feet and bend forward at the hips, with the trunk exposed. B. Listen for a clicking sound as the child abducts the hips. C. Have the child run the heel of one foot down the shin of the other leg while standing. D. Have the child shrug the shoulders as the nurse applies mild pressure to the shoulders.
单选题The nurse is caring for a neonate 12 hours after birth. Which clinical manifestation would be the earliest indication that the neonate may have cystic fibrosis? A. Steatorrhea. B. Meconium ileus. C. Decreased sodium levels. D. Rhinorrhea.
单选题A client is admitted to the psychiatric unit with a diagnosis of anorexia nervosa. Although she is 5'7" and weighs only 100 lb, she keeps on telling the nurse about how fat she is. What should the nurse do first? A. Discuss cultural stereotypes regarding thinness and attractiveness. B. Explore the reasons why the client doesn't eat. C. Teach the client about nutrition, calories, and a balanced diet. D. Establish a trusting relationship with the client.
单选题A priority nursing diagnosis during the first 24 hours following an MI is A. Ineffective cardiac tissue perfusion. B. Risk for infection. C. Deficient fluid volume. D. Constipation.
单选题When developing a plan of home care for the client with multiple sclerosis, the nurse should teach the client about which of the following complications most likely to occur? A. Ascites. B. Contractures. C. Fluid volume overload. D. Myocardial infarction.
单选题When assessing the fetal heart rate tracing, the nurse becomes concerned about the fetal heart rate pattern. In response to the loss of variability, the nurse repositions the client to her left side and administers oxygen. These actions are likely to improve which of the following? A. Fetal hypoxia. B. The contraction pattern. C. The status of a trapped cord. D. Maternal comfort.
单选题A client who is planning a pregnancy asks the nurse about ways to promote a healthy pregnancy. Which of the following would be the nurse's best response? A. "Pregnancy is a human process; you don't have to worry. " B. "You practice good health habits; just follow them and you'll be fine. " C. "There is nothing you can do to have a healthy pregnaney; it's all up to nature. " D. "Folic acid, 400 mcg(1mcg= 10μg), improves pregnancy outcomes by preventing certain complications. /
单选题A client with antisocial personality disorder refuses to take a shower
for 3 days. Which response by the nurse is best?
A. "It's policy here for all clients to bathe daily. "
B. "It's time for your shower. I'll help you with it. "
C. "Don't worry about your shower until tomorrow. "
D. "Do you want people to make fun of you?"
单选题The nurse is caring for a client infected with methicillin-resistant Staphylococcus aureus (MRSA). What's the major infection control measure to reduce MRSA and other nosocomial pathogens in a health care setting ？（）
单选题The nurse is teaching a client with a history of atherosclerosis. To decrease the risk of atherosclerosis, the nurse should encourage the client to A. avoid focusing on his weight. B. increase his activity level. C. follow a regular diet. D. continue leading a high-stress lifestyle.
单选题Nursing implications for a client taking central nervous system (CNS) stimulants include monitoring the client for which of the following conditions
单选题A client with acute respiratory failure is intubated and placed on mechanical ventilation. Which intervention is most appropriate when suctioning the client? A. Insert the suction catheter while applying suction. B. Apply suction until all the secretions have been removed. C. Use the same catheter to first suction the mouth, then the endotraeheal tube. D. Preoxygenate with 100% oxygen before suctioning.
单选题Which of the following interventions would likely be most effective for the client to use at home when managing the discomfort of rhinoplasty the initial 2 days after surgery? A. Applying ice compresses. B. Applying warm, moist compresses. C. Lying in a prone position. D. Blowing the nose gently.
单选题The nurse is preparing to remove a previously applied topical medication from a client. The rationale for removing previously applied topical medications before applying new medications is to A. decrease the possibility of absorption on the nurse's skin. B. allow distribution of medication. C. prevent soiling of the client's clothes. D. avoid administering more than the prescribed dose.
单选题A 28-year-old nurse has complaints of itching and a rash of both hands. Contact dermatitis is initially suspected. The diagnosis is confirmed if the rash appears