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. A client is diagnosed with gout. Which foods should the nurse instruct the client to avoid?
单选题Thenurseisperforminganeurologicassessmentonaclientduringaroutinephysicalexamination.ToassesstheBakinski'sreflex,indicatethepointwherethenursewouldplacethetonguebladetobeginthestrokeofthefoot.A.AB.BC.CD.D
单选题The nurse observes that the client's total parenteral nutrition (TPN) solution is infusing too slowly. The nurse calculates that the client has received 300 mL less than was ordered for the day. What should the nurse do next
单选题The physician orders IV fluid volume replacement with lactated Ringer's solution at a rate of 75 mL/hour. Using an infusion set that provides 15 gtt/mL, the nurse should calculate the flow rate to be A. 10 gtt/min. B. 12 gtt/min. C. 19 gtt/min. D. 75 gtt/min.
单选题For a client with bulimia, which assessment is least important in the care plan? A. Observe the client after eating for 1 hour. B. Note the client's intake. C. Note changes in appetite. D. Note changes in respiratory rate.
单选题The nurse is providing home care to a client with failing vision due to macular degeneration. The nurse is concerned about the client's safety. Which of the following activities would help to lessen the client's risk of falling ？（）
单选题After gastric resection surgery, which of the following signs and
symptoms would alert the nurse to the development of a leaking anastomosis?
A. Pain, fever, and abdominal rigidity.
B. Diarrhea with fat in the stool.
C. Palpitations, pallor, and diaphoresis after eating.
D. Feelings of fullness and nausea after eating.
单选题The nurse is interviewing a client who is currently under the influence of a controlled substance and shows signs of becoming agitated. What should the nurse do
单选题A client is to be discharged from an acute care facility after treatment of right leg thrombophlebitis. The nurse notes that the client's leg is pain free, without redness or edema. The nurse's actions reflect which step in the nursing process? A. Assessment. B. Analysis. C. Implementation. D. Evaluation.
单选题The mother of a hospitalized 3-year-old girl expresses concern because
her daughter is wetting the bed. What should the nurse tell her?
A. "It's common for a child to exhibit regressive behavior when anxious or
stressed. "
B. "Your child is probably angry about being hospitalized. This is her way
of acting out. "
C. "Don't worry. It's common for a 3-year-olcl child to not be fully
toilet-trained. "
D. "The nurses probably haven't been answering the call light soon enough.
They will try to respond more quickly. "
单选题A client is admitted to the hospital with a productive cough, night
sweats, and a fever. Which action is most important in the initial plan of care?
A. Assessing the client's temperature every 8 hours.
B. Placing the client in respiratory isolation.
C. Monitoring the client's fluid intake and output.
D. Wearing gloves during all client contact.
单选题Thenurseisreviewingaclient'sarterialbloodgas(ABG)report.WhichABGvaluereflectstheacidconcentrationintheblood?A.pHB.PaO2C.PaCO2D.
单选题Which of the following home care activities would be appropriate for a client with a laryngectomy? A. Keep the stoma opening covered at all times. B. Participate in activities such as walking and golfing. C. Stay inside in an air-conditioned environment in the summer. D. Avoid showering; take tub baths instead.
单选题A multigravida in her 34th week of gestation presents in the emergency department complaining of vaginal bleeding. Which of the following should be the nurse’s first action（）
单选题The nurse is instructing a client with angina about sublingual nitroglycerin. Which of the following points should be included? A. The shelf life of nitroglycerin is long, it keeps for up to 2 years. B. Store the tablets in a tight, light-resistant container. C. Use the tablets only when the pain is severe. D. The drug will cause increased urine output.
单选题The nurse is taking the health history of an 85-year-old client. Which information will be most useful to the nurse for planning care? A. General health for the last 10 years. B. Current health promotion activities. C. Family history of diseases. D. Marital status.
单选题Before a transesophageal echocardiogram, a client is given an oral
topical anesthetic spray. Upon return from the procedure, the nurse observes
that the client has no active gag reflex. In response, the nurse should
A. insert an oral airway.
B. withhold food and fluids.
C. position the client on his side.
D. introduce a nasogastric (NG) tube.
单选题A client is being admitted to the labor unit. Because she's well advanced in labor, the nurse must prioritize the admission questions. Which information is most important to obtain when birth is imminent
单选题A client with a spinal cord injury and subsequent urine retention receives intermittent catheterization every 4 hours. The average catheterized urine volume has been 550mL. What should the nurse do? A. Increase the frequency of the catheterizations. B. Insert an indwelling urinary catheter. C. Place the client on fluid restrictions. D. Use a condom catheter instead of an invasive one.
单选题A young male client with anorxia nervosa telephones home just before mealtime. The client uses the phone calls to avoid eating. The nurse could evaluate that the nursing plan to set limits on this avoidance behavior was effective when the client A．Organizes an aerobic group for the clients B．Arrives on time for meals without being called C．Begins reading and clipping recipes from magazines D．Contacts his family frequently by telephone between meals