单选题A 19-year-old pregnant client tells the nurse she's concerned that she may not be able to take care of herself during her pregnancy. She states that prenatal care is expensive and her job doesn't provide insurance. The nurse should recognize which of the following? A. The client may not take care of herself. B. The client may not be fit to take care of a child. C. The client needs to take up a second job. D. The client should be referred to community resources available for pregnant women.

单选题The physician has ordered the client to receive digoxin (Lanoxicaps) twice per day until a therapeutic level is attained. When the nurse takes the client's apical pulse on the 3rd day, the pulse is 58, and the client complains of nausea. What should the nurse do next? A. Administer the medication and leave a note on the chart for the physician. B. Order a serum digoxin level to be drawn. C. Administer the medication and medicate the client for nausea. D. Withhold the medication and notify the physician.

单选题The nurse is preparing the client with heart failure to go home. Which of the following should be most important to include in the discharge education? A. Monitor urine output daily. B. Monitor daily potassium intake. C. Maintain bed rest for at least 1 week. D. Weigh daily.

单选题Which of the following would lead the nurse to suspect that a neonate with an infection is developing septic shock? A. Axillary temperature is 99.8°F?(37.7℃). B. Blood pressure is 45/25 mmHg. C. Heart rate during sleep is 205 beats per minute. D. Respiratory rate while awake is 32 breaths per minute.

单选题When inserting a urinary catheter, the nurse can facilitate the insertion by asking the client to （）.

单选题Which of the following nurse responses would be endorsed by the American Nurses Association? A．A nurse promises a dying patient that he will do everything possible to keep her comfortable but that he cannot administer an injection or overdose to cause her death. B．A nurse tells a dying patient who is on a ventilator that under no condition can he be removed from the ventilator because this is active euthanasia and it is expressly forbidden by the Code for Nurses. C．After exhausting every intervention in her bag of tricks to keep a dying patient comfortable the nurse says, "I think you are now at a point where I'm prepared to do what you've been asking me. Let's talk about when and how you want to die. " D．In response to a patient who asks for assistance in committing suicide a nurse replies, "I'm personally opposed to assisted suicide but I'll find you a colleague who can help you. /

单选题When an adolescent female client with the diagnosis of anorexia nervosa starts to discuss food and eating, the nurse should plan to A．Tell her gently but firmly to direct all discussion of food to the dietitian B．Use her current interest in food to encourage her to increase her intake C．Listen closely to determine her favorite foods and secure these foods for her D．Let her talk about food as long as she wants, but limit discussion about her eating

单选题The client experiences a wound evisceration on day 2 after the abdominal hysterectomy. What should the nurse immediately do? A. Approximate the wound edges by applying strips of adhesive over the wound. B. Cover the exposed tissues with sterile dressings moistened with normal saline solution. C. Replace the abdominal contents into the wound carefully while wearing gloves. D. Apply a loose-fitting sterile abdominal binder over the wound.

单选题The client is taking medication to control his cancer pain. Which of the following statements indicates that the client needs further instruction? A. "I should take my medication around-the-clock to control my pain. " B. "I should skip doses periodically so I don't get hooked on my drugs. " C. "It is okay to take my pain medication even if I am not having any pain. " D. "I should contact the oncology nurse if my pain is not effectively controlled. /

单选题In caring for the client with hepatitis B, which of the following situations would most likely expose the nurse to the virus? A. Contact with fecal material. B. A blood splash into the nurse's eyes. C. Disposing of syringes and needles without recapping. D. Touching the client's arm with ungloved hands while taking blood pressure.

单选题A primigravida in labor for 13 hours clenches her fists, tightens her muscles, and screams during every contraction. Her reaction to labor seems exaggerated compared to the contraction pattern recording from the electronic fetal monitor (EFM). What's the nurse's best response? A. Explain to the client that the EFM shows mild contractions, so she should just relax and let the contractions work. B. Take over as her coach because her husband isn't helping her properly. C. Ignore her reactions, realizing that this is her first time in labor and her reactions will soon match the intensity of contractions shown on the EFM. D. Palpate her abdomen to determine the intensity of labor contractions as they're taking place.

单选题When caring for a client who is having her second baby, the nurse can anticipate the client's labor will be which of the following? A. Shorter than her first labor. B. About half as long as her first labor. C. About the same length of time as her first labor. D. A length of time that can't be determined based on her first labor.

单选题The nurse is developing a teaching plan for a client diagnosed with diabetes insipidus. The nurse should include information about which hormone, commonly lacking in clients with diabetes insipidus ？（）

单选题When inserting a urinary catheter, the nurse can facilitate the insertion by asking the client to A. initiate a stream of urine. B. breathe deeply. C. turn to the side. D. hold the labia or shaft of penis.

单选题The nurse is teaching a client who receives nitrates for the relief of chest pain. Which of the following instructions should the nurse emphasize ？（）

单选题Which of the following fluid and electrolyte imbalances would the nurse anticipate that the client would be particularly susceptible to in the emergent phase of burn care? A. Metabolic alkalosis. B. Hemodilution. C. Hypernatremia. D. Hyperkalemia.

单选题Mrs. S with preterm labor will be under Terbutaline (Brethine) therapy. Before beginning the therapy, which of the following assessments would be most important? A. Estimated fetal size. B. Maternal heart rate. C. Contraction intensity. D. Deep tendon reflexes.

单选题Which of the following is used to treat serious depression when drug therapy has failed? A．Electroconvulsive therapy B．Insulin treatment C．Psychosurgery D．Hydrotherapy

单选题Which phrase is used to describe the volume of air inspired and expired with a normal breath? A. Total lung capacity. B. Forced vital capacity. C. Tidal volume. D. Residual volume.

单选题The nurse assesses the client's urinary stoma regularly for edema. Which of the following signs and symptoms might indicate excessive stomal edema? A. Elevated temperature. B. Urine output below 30 mL/hour. C. Urine dribbling from the stoma. D. Complaints of discomfort around the stoma.