单选题A client is admitted to the emergency department with complaints of chest pain and shortness of breath. The nurse's assessment reveals jugular vein distention. The nurse knows that when a client has jugular vein distention, it's typically due to A. a neck tumor. B. an electrolyte imbalance. C. dehydration. D. fluid overload.
单选题Which client has the highest risk of ovarian cancer（）
单选题Which toy would be most appropriate for a 3-year-old?
A. A bicycle.
B. A puzzle with large pieces.
C. A pull toy.
D. A computer game.
单选题When bandaging the burned client's hand, the nurse should pay more attention about which of the following? A. The bandage is free of elastic. B. The bandage material is moistened with sterile normal saline solution. C. The hand and finger surfaces do not touch. D. The hand and fingers are not elevated above heart level.
单选题The nurse is caring for an elderly female with osteoporosis. When teaching the client, the nurse should include information about which major complication ？（）
单选题The nurse administers racemic epinephrine to a child. Ten minutes after administration, the nurse should be alert for A. respiratory distress. B. profound tachycardia. C. signs of improved oxygenation. D. diminished cyanosis.
单选题From an analysis of the data collected about the client who has had a gastric resection, the nurse formulates the nursing diagnosis Risk for ineffective airway clearance. Based on which of the following postoperative factors would the nurse make this diagnosis? A. Incisional pain. B. Nausea. C. Progressive ambulation. D. Maintenance of a semi-Fowler's position.
单选题A woman seeking help at a community mental health center complains of fatigue, sensitivity to criticism, decreased libido, and feeling self-conscious. She also has aches and pains. A nursing diagnosis for this client might include A. Delayed growth and development. B. Ineffective role performance. C. Posttrauma syndrome. D. Chronic low self-esteem.
单选题An 8-month-old boy is admitted to the pediatric unit following a fall from his high chair. The child is awake, alert, and crying. The nurse should know that a brain injury is more severe in children because of（）
单选题As part of the annual health screening, the nurse visits the
eighth-grade physical education classes and asks each student to bend forward at
the waist with the back parallel to the floor and the hands together at midline.
For which of the following is the nurse assessing?
A. Slipped epiphysis.
B. Developmental dysplasia of hip.
C. Idiopathic scoliosis.
D. Physical dexterity.
单选题A 22-year-old client is diagnosed with dependent personality disorder. Which behavior is most likely evidence of ineffective individual coping? A. Inability to make choices and decisions without advice. B. Showing interest only in solitary activities. C. Avoiding developing relationships. D. Recurrent self-destructive behavior with history of depression.
单选题The nurse is teaching the mother of an infant with tetralogy of Fallot. The mother asks what to do when her infant becomes very blue and has trouble breathing after crying. The nurse should tell the mother,
单选题A client with fecal impaction typically exhibits which clinical manifestation? A. Liquid or semiliquid stools. B. Hard, brown, formed stools. C. Loss of urge to defecate. D. Increased appetite.
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? A. One fingerbreadth above the umbilicus. B. One fingerbreadth below the umbilicus. C. At the level of the umbilicus. D. Below the symphysis pubis.
单选题When prioritizing a client's care plan based on Maslow's hierarchy of needs, the nurse's first priority would be A. allowing the family to see a newly admitted client. B. ambulating the client in the hallway. C. administering pain medication. D. placing wrist restraints on the client.
单选题Nursing care for a client after electroeonvulsive therapy (ECT) should include which of the following
单选题An appropriate-for-gestational-age neonate should weigh A. between the 10th and the 90th percentiles for age. B. at least 2,500 g (5 lb, 8 oz). C. between 2,000 and 4,000 g (4 lb, 6 oz and 8 lb, 12 oz). D. in the 50th percentile.
单选题During a panic attack, a client runs to the nurse and reports breathing difficulty, chest pains, and palpitations. The client also is pale and has a wide open mouth and raised eyebrows. What should the nurse do first? A. Assist with deep breathing into a paper bag. B. Orient the client to person, place, and time. C. Set limits for acting out delusional behaviors. D. Administer an anxiolytic agent IM.
单选题A client in her 7th month of pregnancy has been complaining of back pain and wants to know what can be done to relieve it. Which of the following responses by the nurse is most effective? A. "You need to lie down more during the day to get off your feet. " B. "Avoid lifting heavy loads, and try using the pelvic tilt exercise. " C. "Have others pick things up for you so you don't have to bend over so much. " D. "Your back pain will go away after the baby is born. /
单选题Which statement about fluid replacement is accurate for a client with hyperosmolar hyperglycemic nonketotic syndrome (HHNS) ? A. Administer 2 to 3 L of IV fluid rapidly. B. Administer 6 L of IV fluid over the first 24 hours. C. Administer a dextrose solution containing normal saline solution. D. Administer IV fluid slowly to prevent circulatory overload and collapse.