单选题A community nurse is teaching a sexuality class at a community center about human immunodeficiency virus (HIV) transmission. Which of the following behaviors would most likely to be recommended by the nurse as a measure to greatly reduce the risk of HIV transmission? A. Avoiding inhalant drugs. B. Avoiding prolonged sex. C. Using latex condoms with sexual intercourse. D. Douching before and after sexual intercourse.
单选题The nurse reinforces the physician's description of a fasciotomy for a client. When a fasciotomy is performed to alleviate compartment syndrome, the fascia is opened along the length of the muscle compartment and A. the skin is sutured loosely. B. a pressure dressing is applied. C. the skin is left open. D. a skin graft is placed.
单选题A 21-year-old primigravida has an emergency cesarean delivery under general anesthesia because of unanticipated fetal distress. One postoperative intervention is to assist her to turn every 2 hours. Which of the following conditions is this intervention intended to prevent? A. Pressure ulcers. B. Muscular stiffness. C. Respiratory complications. D. Venous stasis.
单选题When working with a client who is depressed, the nurse should initially: A．Accept what the client says B．Attempt to keep the client occupied C．Try to keep the client from talking too much D．Keep the client's surroundings bright and gay
单选题The nurse walks into the room of a client who has had surgery for testicular cancer. The client says that he'll be undesirable to his wife, and he becomes tearful. He expresses that he's spoiled a happy, satisfying sex life with his wife, and says that he thinks it might be best if he would just die. Based on these signs and symptoms, which nursing diagnosis would be most appropriate for planning purposes? A. Situational low self-esteem. B. Unilateral neglect. C. Social isolation. D. Risk for loneliness.
单选题Mrs. Wilson, a primigravida, was admitted to the hospital at 12 weeks' gestation. She is complaining of abdominal cramping, exhibits bright red vaginal spotting without cervical dilation. The nurse determines that the client is most likely experiencing which of the following types of abortion? A. Complete. B. Threatened. C. Inevitable. D. Missed.
单选题Which of the following is appropriate to include in a teaching plan for a 9-year-old who has had diabetes for several years? A. Beginning recognition of symptoms of hypoglycemia. B. Measurement of insulin accurately in the syringe. C. Beginning ability to give own injections with adult supervision. D. Assumption of responsibility for self-care.
单选题When magnesium sulfate is administered to a client in labor, its action occurs at which of the following sites? A. Neural-muscular junctions. B. Distal renal tubules. C. Central nervous system (CNS). D. Myocardial fibers.
单选题After the nurse has taught the parents of a 5-year-old boy who has leukemia how to talk with their child about death and dying, which of the following would indicate that the parents have age-appropriate expectations about their child's reaction to his impending death? A. "He is too young to understand what is happening to him. " B. "He might think he can cause his death because he has misbehaved. " C. "He will accept his death as caused by his disease. " D. "He will understand how much his siblings will miss him. /
单选题Which of the following signs or symptoms would lead the nurse to suspect that a 10-year-old child is experiencing early salicylate toxicity? A. Chest pain. B. Pink-colored urine. C. Slowed pulse rate. D. Dizziness.
单选题A client is at risk for developing a pressure ulcer. The first warning of an impending pressure ulcer is when pressure applied to skin it turns A. whitish. B. yellowish. C. bluish. D. reddish.
单选题The major difference between bipolar Ⅰ and bipolar Ⅱ disorder is that A．Clients with bipolar Ⅰ have no symptoms of mania, but only depression B．The prognosis for bipolar Ⅰ is much better than for bipolar Ⅱ C．Both disorders are the same, except that clients with bipolar Ⅰ disorders have a much higher incidence of suicide D．Clients with bipolar Ⅱ disorder do not have symptoms of mania that interfere enough to cause marked functional disturbances
单选题A client tells the nurse that she has been working hard for the last 3 months to control her type 2 (non-insulin-dependent) diabetes mellitus with diet and exercise. To determine the effectiveness of the client's efforts, the nurse should check A. urine glucose level. B. fasting blood glucose level. C. serum fructosamine level. D. glycosylated hemoglobin (Hb) level.
单选题Which of the following should be the nurse's initial action immediately
following the birth of the neonate?
A. Aspirating mucus from the neonate's nose and mouth.
B. Drying the infant to stabilize the neonate's temperature.
C. Promoting parental bonding.
D. Identifying the neonate.
单选题The nurse is caring for a woman with phenylketonuria who wants to start a family. Which of the following guidelines should the nurse provide the woman? A. Follow a low-phenylalanine diet before trying to conceive. B. A low-phenylalanine diet is necessary only during the first trimester. C. Begin a low-phenylalanine diet when pregnancy is confirmed. D. Dietary restrictions won't be necessary.
单选题The nurse instructs the client with diabetes mellitus that it is vital to recognize and treat hypoglycemia promptly based on which of the following knowledge? A. Hypoglycemia can cause brain damage. B. Hypoglycemia necessitates increased insulin dosage. C. The client may become dehydrated quickly. D. The client may become confused, increasing the risk of injury.
单选题When caring for a client with ulcerative colitis, the nurse should include which of the following nursing interventions in the plan of care? A. Encouraging the use of stool softeners. B. Suggesting sitz baths as needed. C. Arrange for the client to have a private bathroom. D. Wearing a gown to provide direct care.
单选题A 21-year-old primigravida has an emergency cesarean delivery under general anesthesia because of unanticipated fetal distress. One postoperative intervention is to assist her to turn every 2 hours. Which of the following conditions is this intervention intended to prevent
单选题After a visit from several friends the nurse finds a client with a known history of opiate addiction in a deep sleep and unresponsive to attempts at arousal. The nurse assesses the client's vital signs and would evaluate that an overdose of opiates had occurred if the findings showed a A．Blood pressure of 125/80mmHg, a pulse of 80, and respirations of 22 B．Blood pressure of 140/90mmHg, a pulse of 76, and respirations of 28 C．Blood pressure of 180/100mmHg, a pulse of 72, and respirations of 18 D．Blood pressure of 70/40mmHg, a pulse of 120, and respirations of 10
单选题A client is admitted with a suspected diagnosis of an acute myocardial infarction. When providing care for the client, the nurse should avoid which route when taking a temperature? A. Oral. B. Rectal. C. Axillary. D. Tympanic.