单选题A client is admitted with a diagnosis of delusions of grandeur. This diagnosis reflects the client has a belief that he is A. highly important or famous. B. being persecuted. C. connected to events unrelated to himself. D. responsible for the evil in the world.
单选题The mother of a 2-year-old child tells the nurse that her baby is using a potty seat but is still having problems toilet-training. Which of the following suggestions by the nurse would he most appropriate? A. Offer the child more praise each time. B. Use a potty chair instead of a potty seat. C. Focus on the "accidents" that occur during training. D. Defer training until the child is developmentally ready.
单选题A client receiving haloperidol (Haldol) complains of a stiff jaw and difficulty swallowing. Which of the following should be the nurse's first action? A. Reassure the client and administer as-needed lorazepam (Ativan) IM. B. Administer as-needed dose of benztropine (Cogentin) by mouth as ordered. C. Administer as-needed dose of benztropine (Cogentin) IM as ordered. D. Administer as-needed dose of haloperidol (Haldol) by mouth.
单选题The nurse teaches a mother how to provide adequate nutrition for her toddler, who has cerebral palsy. Which of the following observations indicates that teaching has been effective（）
单选题Which of the following techniques should the nurse use in working with individual depressed patients? She should A．Be aggressively cheerful B．Indicate the patient's good prognosis C．Push the patient toward making decisions D．Always give elaborate encouragement
单选题A 2-year-old child is brought to the emergency room with a broken arm. Which of the following findings would lead the nurse to suspect child abuse? A. The child has bruises on the forearms. B. The child's clothes are dirty, torn, and obviously "hand-me-downs. " C. The child's father alters the story of the injury each time he tells it. D. The child's mother did not come to the hospital with the child.
单选题A preschool-age child with sickle cell anemia is admitted to the health care facility in vaso-occlusive crisis after developing a fever and joint pain. What is the nurse's highest priority when caring for this child? A. Providing fluids. B. Maintaining protective isolation. C. Applying cool compresses to affected joints. D. Administering antipyretics, as prescribed.
单选题Which of the following concepts would the nurse incorporate into the plan of care for a 4-year-old child to psychologically prepare the child for cardiac catheterization? A. Anxiety decreases when a preschooler is protected from learning about unpleasant events. B. Preschoolers are unable to understand the procedure. C. Little psychological preparation can be given to preschoolers. D. Preparation is a joint responsibility of the physician, parents, and nurse.
单选题Which of the following is an early sign of laryngeal cancer? A. Difficulty swallowing. B. Chronic foul breath. C. Persistent mild hoarseness. D. Nagging unproductive cough.
单选题A mother complains to the nurse that her 4-year-old son often lies. What's the nurse's best response? A. Let the child know that he'll be punished for lying. B. Ask him why he isn't telling the truth. C. It's probably due to his vivid imagination and creativity. D. Acknowledge him by saying, "That's a pretend story. /
单选题During a routine follow-up examination, the nurse updates the client's
medication history. The client currently receives prednisone therapy.
Concomitant use of an agent from which of the following classes could increase
the risk of peptic ulcer disease?
A. Antidiabetic agents, administered orally.
B. Nonsteroidal anti-inflammatory drugs (NSAIDs).
C. Beta-adrenergic blockers.
D. Contraceptive agents, administered orally.
单选题The nurse is evaluating a client who is complaining of shortness of breath. The client's respiratory rate is 26 breaths per minute so the nurse documents that he is tachypneic. The nurse understands that tachypnea means A. frequent bowel sounds. B. heart rate greater than 100 beats/minute C. hyperventilation. D. respiratory rate greater than 20 breaths/minute
单选题The nurse is preparing an elderly client to get out of bed on the first postoperative day after a total hip replacement. Which of the following activities would be most helpful to the client? A. Demonstrate the use of a walker with partial weight bearing. B. Explain to the client that she will be lifted out of bed to a chair. C. Reassure the client that she will be assisted to walk to the hall. D. Demonstrate the swing-through crutch-walking gait with limited weight hearing.
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. Which of the following might be a nursing diagnosis for this client
单选题A client has approached the nurse asking for advice on how to deal with his alcohol addiction. The nurse should tell the client that the only effective treatment for alcoholism is A. psychotherapy. B. total abstinence. C. Alcoholics Anonymous (AA). D. aversion therapy.
单选题When caring for a client who has had a cesarean birth, which of the following nursing interventions is least appropriate? A. Removing the initial dressing for incision inspection. B. Monitoring pain status and providing necessary relief. C. Supporting self-esteem concerns about delivery. D. Assisting with parental neonate bonding.
单选题A client is 22 weeks pregnant with her first child. Her weight gain is normal, but she complains of constipation. What's the most effective recommendation the nurse can make? A. "Take a mild laxative daily. " B. "Increase intake of fluids and high-fiber foods. " C. "Relax when trying to move the bowels. " D. "Start a strenuous exercise program. /
单选题Following a transsphenoidal hypophysectomy, the nurse should assess the client carefully for which condition? A. Hypocortisolism. B. Hypoglycemia. C. Hyperglycemia. D. Hypercalcemia.
单选题Which nursing diagnosis would be the most appropriate for a client with coronary artery disease (CAD) ? A. Ineffective thermoregulation. B. Impaired gas exchange. C. Risk for injury. D. Decreased cardiac output.
单选题A 10-year-old diagnosed with acute glomerulonephritis is admitted to the pediatric unit. The nurse should ensure that which of the following is a part of the child's care? A. Taking vital signs every 4 hours and obtaining daily weight. B. Obtaining a blood sample for electrolyte analysis every morning. C. Checking every urine specimen for protein and specific gravity. D. Ensuring that the child has accurate intake and output and eats a high-protein diet.