单选题John has been on the telephone for ten minutes. He has become increasingly loud and terminates the conversation by slamming the phone. He walks into the lounge and kicks a chair. The BEST nursing intervention for John would be to A．Respect John personal space and offer him one-to-one in a quiet area B．Let J. know that continued agitation will result in restraints C．Remove other patients and let John "blow off steam" in the lounge by himself D．Immediately gather several staff to physically take J. to seclusion
单选题The nurse is delivering the client's 10 AM medications. The client is away from his room for a diagnostic study. Which action is the most appropriate for the nurse to take? A. Leave the medications on the client's bedside table. B. Ask the client's roommate to keep the medications for the client until he returns. C. Lock the medications in the medicine preparation area until the client returns. D. Have the client skip that dose of medication.
单选题A 30-year-old client with 7 months pregnancy reports severe leg cramps at night. Which nursing action would be most effective in helping her cope with these cramps? A. Suggesting that she walk for 1 hour twice per day. B. Advising her to take over-the-counter calcium supplements twice per day. C. Teaching her to dorsiflex her foot during the cramp. D. Instructing her to increase milk and cheese intake to 8 to 10 servings per day.
单选题The nurse is caring for a client who is suicidal. When accompanying the client to the bathroom, the nurse should（）
单选题The nurse is teaching a client about using vaginal medications. The nurse should instruct the client to A. use a tampon after insertion to increase medication absorption. B. release and pull up on the applicator before removal. C. never refrigerate suppositories. D. use only a water-soluble lubricant when inserting a suppository.
单选题A 34-year-old client is 34 weeks pregnant and is experiencing bleeding caused by placenta previa. The fetal heart sounds are normal and the client isn't in labor. Which of the following nursing interventions should be of priority? A. Monitor the amount of vaginal blood loss. B. Allow the client to ambulate with assistance. C. Perform a vaginal examination to cheek for cervical dilation. D. Notify the physician for a fetal heart rate of 130 beats/minute.
单选题What activity orders would be appropriate for a client with an internal radium implant for cervical cancer? A. Out of bed as tolerated within the room. B. Bed rest with bathroom privileges. C. Bed rest in position of comfort. D. Bed rest with the head of the bed flat.
单选题A client in a psychiatric clinic unit tells the nurse, "I don't think I can face going home tomorrow. " The nurse replies, "Do you want to talk more about it" The nurse is using which of the following techniques
单选题The nurse caring for a 3-day-old neonate notices that he looks slightly jaundiced. Although not a normal finding, it's an expected finding of physiologic jaundice and is caused by which of the following? A. Poor clotting mechanism. B. High hemoglobin (Hb) levels between 14 and 20 g/dL per 100 mL of blood. C. Persistent fetal circulation. D. Large, immature liver.
单选题Immediately after a 1-year-old client returns from a cardiac catheterization, the nurse notes that the pulse distal to the catheter insertion site is weak. The nurse should take which of the following actions? A. Remove the pressure bandage from the insertion site. B. Perform passive exercises on the affected extremity. C. Notify the physician of the assessment. D. Record the data on the nursing notes and continue to evaluate.
单选题A 32-year-old client is admitted to the unit. She states, "I'm a well-known, wealthy designer," and begins to order the nurses to prepare her bath while she orders her tray and telephones her colleagues. Her husband states that she's too busy to eat and sleep and is losing weight. Her admitting diagnosis is bipolar disorder, manic phase. For which of the following events should the nurse plan? A. Erratic and unpredictable behavior if challenged. B. Boredom and the need for minute-to-minute activities. C. Rapid mood changes from elation to depression. D. One-to-one treatment to occupy the client's time.
单选题A gravida 2, para 1 with pregnancy-induced hypertension is receiving magnesium sulfate IV, 2g/hour via infusion pump. In assessing the client, the nurse notes a decrease in respirations from 16 to 12 breaths/minute and slightly pink-tinged urine (output is 25mL/hour). The client still complains of feeling sleepy. The nurse's action should include A. checking the most recent serum level of magnesium sulfate and notifying the physician of the results. B. turning the client on her left side and taking vital signs again. C. flushing the client's indwelling urinary catheter with sterile normal saline solution to see if it's draining properly. D. instructing the client to turn, cough, and deep breathe every 30 minutes.
单选题Directions: The question below is followed by six choices numbered 260-265. If a choice is correct, mark A in the space provided. If a choice is not correct, mark B. Blacken one circle on your answer sheet for each number. The nurse is teaching an adolescent with inflammatory bowel disease about treatment with corticosteroids. Which adverse effects are concerns for this client?
单选题A client is admitted for a suspected eating disorder. Which of the following statements would indicate that the client may be suffering from anorexia nervosa? A. "I've gained 3 pounds in the last month. " B. "I eat loads of spinach and yellow vegetables each day. " C. "I'm a perfectionist, and I work hard to get A's. " D. "I binge frequently in the morning and feel fat. /
单选题A client is receiving a radiation implant for the treatment of bladder cancer. Which of the following interventions is appropriate? A. Flush all urine down the toilet. B. Restrict the client's fluid intake. C. Place the client in a semiprivate room. D. Monitor the client for signs and symptoms of cystitis.
单选题A nurse performs cardiopulmonary resuscitation (CPR) for 1 minute on an infant without calling for assistance. In reassessing the infant after I minute of CPR, the nurse finds that he still isn't breathing and that he has no pulse. The nurse should then A. resume CPR beginning with breaths. B. declare her efforts futile. C. resume CPR beginning with chest compressions. D. call for assistance.
单选题The nurse interviews a young female client with anorexia nervosa to obtain information for the nursing history. The clients history is likely to reveal A．A strong desire to improve her self-image B．A close, supportive mother-daughter relationship C．Low achievement in school, with little concern for grades D．satisfaction with and a desire to maintain her present weight
单选题Oxytocin (Pitocin) is administrated to a client during labor. Which of
the following is the most serious adverse effect associated with oxytocin?
A. Water intoxication.
B. Tetanic contractions.
C. Elevated blood pressure.
D. Early decelerations of fetal heart rate.
单选题The client is taking triamcinolone acetonide (Azmacort) inhalant to treat her bronchial asthma. Which of the following conditions is the client at increased risk for developing while taking this medication? A. Oral candidiasis. B. Hyperglycemia. C. Gastric ulcer. D. Fluid retention.
单选题Which of the following nutritional deficiencies may delay wound healing? A. Lack of thiamine. B. Lack of vitamin Ｃ. C. Lack of folate. D. Lack of vitamin Ａ.