[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
[单选题]Mr. Smith is admitted to the psychiatric hospital for evaluation after numerous incidents of threatening, angry outbursts and two episodes of hitting a coworker at the grocery store where he works. He is very anxious and tells the nurse, "I didn't mean to hit him. He made me so mad that I just couldn't help it. I hope I don't hit anyone here. " Which of the following is the nurse's best response?
[单选题]The nurse is planning care for a client admitted to the psychiatric unit with a diagnosis of paranoid schizophrenia. Which nursing diagnosis should receive the highest priority?
[单选题]The physician prescribes a monoamine oxidase (MAO) inhibitor for a client. Which of the following nursing diagnostic categories would be most appropriate to focus on during client teaching?
[单选题]Trimethobenzamide (Tigan) 150 mg IM has been ordered to treat a client's nausea and vomiting. The nurse has an ampule of Tigan labeled 200 mg/mL. How many mL should the nurse prepare to give the client?
[单选题]The nurse is caring for a child with leukemia. Which of the following should the nurse priority pay more attention to?
[单选题]The nurse is caring for a client who is experiencing sinus bradycardia with a pulse rate of 40 beats/minute. His blood pressure is 80/50 mmHg and he complains of dizziness. Which medication would be used to treat his bradycardia?
[单选题]A client is admitted to the psychiatric unit with a diagnosis of anorexia nervosa. Although she is 5'7" and weighs only 100 lb, she keeps on telling the nurse about how fat she is. What should the nurse do first?
[单选题]When developing a teaching plan for the family of a child with seizures, which of the following would the nurse include when discussing pharmacologic treatment?
[单选题]When magnesium sulfate is administered to a client in labor, its action occurs at which of the following sites?
[单选题]The nurse is assessing a client with an ileal conduit. She notes that the client's urinary appliance contains pale yellow urine with large amounts of mucus. How would the nurse best interpret these data?
[单选题]Which of the following nursing diagnoses would be most appropriate when teaching the mother of a toddler?
[单选题]The nurse is assessing a 15-year-old female who is being admitted for treatment of anorexia nervosa. Which of the following clinical manifestation is the nurse most likely to find from the client?
[单选题]A woman tells the nurse that her 6-year-old daughter has severe nosebleeds. Which of the following instructions should the nurse give this woman to manage nosebleeds?
[单选题]The most important feeling for the nurse to convey to the client in order for the client with personality disorder to accept the nurse is one of
[单选题]The nurse realizes that the environment is very important when caring for a client with a diagnosis of mood disorder manic episode. The nurse should
[单选题]The mother of a 1B-year-old girl calls the emergency department, suspecting her daughter's abdominal pain may be appendicitis. In addition to pain, her daughter has a fever of 100F (37.8℃) and has vomited twice. What should the nurse tell the mother?
[单选题]An 20-month-old with acquired immunodeficiency syndrome (AIDS) is seen in the clinic for health maintenance. Which of the following vaccines would the nurse anticipate administering to this toddler?
[单选题]The nurse is administering sublingual nitroglycerin (Nitrostat) to the client. Immediately afterward, the client may experience which of the following symptoms?
[单选题]Mrs. Pearson cut judy's hot dog into eight pieces and Sylvia's into six pieces. Sylvia cried because she felt she wasn't getting as much hot dog as Judy. Piaget would say that Sylvia doesn't understand the principle of
[单选题]The nurse notices that a depressed client taking amitriptyline (Elavil) for 2 weeks has become very outgoing, cheerful, and talkative. The nurse would suspect which of the following?
[单选题]Which of the following techniques should the nurse use in working with individual depressed patients? She should
[单选题]Which of the following would be least likely to indicate anticipated bonding behaviors by new parents?
[单选题]A client with antisocial personality disorder refuses to take a shower for 3 days. Which response by the nurse is best?
[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
[单选题]The nurse may best assist an abusing parent to alter behavior toward an abused 2-year-old child by helping the client to
[单选题]The nurse would teach the client to implement which of the following nasal care measures after the nasal packing is removed?
[单选题]The client is taking carbamazepine (Tegretol) to treat his trigeminal neuralgia. While preparing the client's teaching plan, which of the following instructions should the nurse include?
[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?
[单选题]The primary nursing diagnosis for a client with a medical diagnosis of major depression would be:
[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
[单选题]A nurse needs assistance transferring an elderly, confused client to bed. The nurse leaves the client to find someone to assist her with the transfer. While the nurse is gone, the client falls and hurts herself. The nurse is at fault because she hasn't
[单选题]When Tommy's mother hides his favorite toy under a blanket, he acts as though it no longer exists and makes no attempt to retrieve it. Tommy is clearly in Piaget's stage:
[单选题]A client has had a total gastrectomy for gastric cancer. Which one of the following is the most appropriate expected outcomes about nutrition?
[单选题]For the child experiencing excessive vomiting secondary to pyloric stenosis, the nurse should assess the child for which of the following acid-base imbalances?
[单选题]The nurse is developing a plan of care for a client with anorexia nervosa. Which action should the nurse include in the plan?
[单选题]Which part on the wave deflection corresponds to ventricular muscle repolarization in the following ECG graph?
[单选题]A client with heart failure loses 3.2 kg while hospitalized. Approximately how many pounds has the client lost?
[单选题]Which of following would lead the nurse to suspect that a client's labor is moving quickly and that the physician should be notified?
[单选题]After 5 days of hospitalization, the client who is receiving morphine sulfate for pain control asks for more pain medication with increasing frequency and exhibits increased anxiety and restlessness. His physical condition is stable. What is the probable cause of his behavior?
[单选题]When completing an assessment of a healthy adolescent client, which of the following would be most appropriate?
[单选题]When assessing a client with a diagnosis of mood disorder-manic episode, the nurse is aware that the manic episode is in reality an
[单选题]When caring for an adolescent client diagnosed with depression, the nurse should remember that depression manifests differently in adolescents and adults. In an adolescent, signs and symptoms of depression are likely to include which of the following?
[单选题]The nurse is about to administer a medication to a client with whom the nurse is unfamiliar. To verify the client's identity, the nurse should
[单选题]The nurse plans to administer an injection of heparin to a client. Which of the following techniques for heparin administration is appropriate?
[单选题]When preparing to give a neonate the first feeding by nipple, the nurse uses a 5 mL feeding of sterile water first. Which of the following is the reason for doing so?
[单选题]The husband of a patient who has died is unable to express his feelings of loss and at times denies them. His bereavement has extended over a lengthy period. Which of the following types of grief would the husband be experiencing?
[单选题]A client who was found huddled in her apartment by the police is admitted to the clinic. The client stares toward one corner of the room and seems to be responding to something not visible to others. She appears hyperalert and scared. Which of the following conclusion by the nurse is most appropriate according to the situation?
[单选题]The nurse teaches the parents of a child being treated with antibiotics for an ear infection for a follow-up visit after the child completes the course of therapy. Which of the following statements by the parents indicates that they understand the reason for the follow-up visit?
[单选题]An elderly female client is admitted to a nursing home from the general hospital with a diagnosis of dementia of the Alzheimer's type. One morning, after being in the nursing home for several days, the client is going to join a group of residents in recreational therapy. The nurse notes that the client has laid out several dresses on her bed but has not changed from her nightclothes. It would be most helpful for the nurse to
[单选题]A 35-year-old client is undergoing a brain computed tomography (CT) scan because of continued migraine headaches. He's placed in the CT scanner and suddenly begins to complain of palpitations, sweating, shortness of breath, and shaking. The client is most likely experiencing
[单选题]A 6-week-old female infant exhibits dry scaly skin and a protruding tongue after having trouble breast-feeding. A diagnosis of congenital hypothyroidism is made. The mother asks the nurse why the child was not diagnosed with this condition at birth. Which of the following would be the nurse's best response?
[单选题]Which one of the following observation would the nurse evaluate as an expected outcome for a client who has undergone surgical repair of an inguinal hernia?
[单选题]Which of the following nursing interventions is most important postoperatively for an infant who has received a ventriculoperitoneal shunt?
[单选题]How should a psychiatric nurse respond when a delusional patient fearfully tells her that people are waiting outside the hospital to kill him?
[单选题]When caring for a client who has had a cesarean birth, which of the following nursing interventions is least appropriate?
[单选题]The nurse is providing postprocedure care for a client who underwent percutaneous lithotripsy. In this procedure, an ultrasonic probe inserted through a nephrostomy tube into the renal pelvis generates ultra-high-frequency sound waves to shatter renal calculi. The nurse should instruct the client to
[单选题]A local elementary school has requested scoliosis screening for its students from the hospital's community outreach program. The school should be informed that
[单选题]In an industrial accident, a client who weighs 155 lb (70.3 kg) sustained full-thickness burns over 40% of his body. He's in the burn unit receiving fluid resuscitation. Which observation shows that the fluid resuscitation is benefiting the client?
[单选题]A 40-year-old client is admitted to the psychiatric emergency department because of sleeping difficulty, poor judgment, and incoherent at times. The client's speech is rapid and loose. She reports being a special messenger from the Messiah. She has a history of depressed mood for which she has been taking an antidepressant. Which diagnosis would the nurse suspect?