单项选择题The nurse is caring for several clients who have eating disorders. Based on appearance, how would the nurse distinguish bulimic clients from anorectic clients

A.By their teeth.
B.By body size and weight.
C.By looking for Mallory-Weiss tears.
D.The clients are indistinguishable upon physical examination.


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2.单项选择题A multigravid client in active labor is about to deliver. The nurse has no help immediately available. What should the nurse do first

A.Prepare a clean area on which to deliver the neonate.
B.Lower the head of the bed to a flat position.
C.Have the client push with a contraction.
D.Ask the client to take a deep breath and hold it.

3.单项选择题Which of the following health-promoting activities should the nurse teach the client with a new laryngectomy

A.Cleanse the mouth three times a day.
B.Avoid taking tub baths.
C.Develop an aggressive program of exercise to increase airway functioning.
D.Dehumidify the air for comfort.

4.单项选择题The client exhibits signs of sleep disturbance. Which intervention should the nurse try first

A.Administer sleeping medication before bedtime.
B.Provide the client with normal sleep aids, such as pillows, back rubs, and snacks.
C.Ask the client each morning to describe the quality of sleep during the previous night.
D.Teach the client relaxation techniques, such as guided imagery, meditation, and progressive muscle relaxation.

5.单项选择题The nurse administers a preoperative intramuscular medication at the ventrogluteal site. The nurse will inject the medication into which muscle

A.Rectus femoris.
B.Gluteus maximus.
C.Gluteus minimus.
D.Vastus lateralis.

6.单项选择题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.

7.单项选择题The development of laryngeal cancer is most clearly linked to which of the following factors

A.High-fat, low-fiber diet.
B.Alcohol and tobacco use.
C.Low socioeconomic status.
D.Overuse of artificial sweeteners.

8.单项选择题A 24-year-old primipara decides to breast-feed her baby but says, "I'm worried that I won't be able to breast-feed my baby because my breasts are so small. " Which of the following is appropriate response by the nurse

A.Because her breasts are small, she will have to feed the baby more often.
B.Breast size poses no influence on a woman's ability to breast-feed a baby.
C.Breast milk can be enhanced by occasional formula feeding.
D.The woman's motivation to breast-feed is less important than breast size.

9.单项选择题The most significant sign of acute renal failure is

A.elevated body temperature.
B.increased blood pressure.
C.decreased urine output.
D.increased urine specific gravity.

10.单项选择题While a client with hypertension is being assessed, he says to the nurse, "I really don't know why I'm here. I feel fine and haven't had any symptoms. " Which of the following would be the nurse's best response

A."Symptoms of hypertension are often not present. "
B."Symptoms of hypertension signify a high risk of stroke. "
C."Symptoms of hypertension occur only with malignant hypertension. "
D."Symptoms of hypertension appear after irreversible kidney damage has occurred. "