单项选择题Which of the following would the nurse expect to include in the plan of care for a client with diabetes who is in labor

A.Measuring urine output every 4 hours.
B.Monitoring blood glucose levels every hour.
C.Administering insulin subcutaneously every 4 hours.
D.Checking deep tendon reflexes every 2 hours.


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3.单项选择题A client undergoes extracorporeal shock wave lithotripsy (ESWL) to break up and remove renal calculi. Which of the following nursing measures is appropriate for the postoperative care of this client

A.Maintain client on strict bed rest for 48 hours after the procedure.
B.Instruct client to anticipate a decrease in urinary output.
C.Instruct client to anticipate hematuria for about 24 hours after the procedure.
D.Limit fluid intake to 1000 mL/day until all stone fragments have been passed.

4.单项选择题The nurse instructs the client with hemorrhoids about how to decrease the discomfort. Which of the following interventions would be most likely recommended by the nurse

A.Decrease fiber in the diet.
B.Decrease physical activity.
C.Take laxatives to promote bowel movements.
D.Use warm sitz baths.

5.单项选择题Which nursing measure would be most effective in helping the client cough and deep breathe after a cholecystectomy

A.Having the client take rapid, shallow breaths to decrease pain.
B.Having the client lay on the left side while coughing and deep breathing.
C.Teaching the client to use a folded blanket or pillow to splint the incision.
D.Withholding pain medication so the client can be alert enough to follow the nurse's instructions.

6.单项选择题A psychotic client reports to the evening nurse that the day nurse put something suspicious in his water with his medication. The nurse replies, "You're worried about your medication" The nurse's communication is

A.an example of presenting reality.
B.reinforcing the client's delusions.
C.focusing on emotional content.
D.a nontherapeutic technique called mind reading.

7.单项选择题A client has a nasogastric tube inserted at the time of abdominal perineal resection with permanent colostomy. This tube will most likely be removed when the client demonstrates which of the following

A.Absence of nausea and vomiting.
B.Absence of stomach drainage for 24 hours.
C.Passage of mucus from the rectum.
D.Passage of flatus and feces from the colostomy.

9.单项选择题A client had a nephrectomy 2 days ago and is now complaining of abdominal pressure and nausea. What should the nurse do first

A.Auscultate for bowel sounds.
B.Palpate the abdomen.
C.Change the client's position.
D.Insert a rectal tube.

10.单项选择题Signs and symptoms of retinal detachment include which of the following

A.Painless decrease in vision, a veil over the visual field, and flashing lights.
B.A veil over the visual field, increased intraocular pressure, and yellow-green halos around visual images.
C.Photophobia, yellow-green halos around visual images, and blurred vision.
D.Unilateral eye inflammation, a cloudy cornea, and a moderately dilated pupil.