单项选择题An adolescent client immobilized in a spica cast complains of having trouble breathing after meals. Which of the following actions would be best

A.Encourage the client to drink more between meals.
B.Teach the adolescent purse&lip breathing.
C.Give the client a laxative after meals.
D.Offer the client small feedings several times a day.


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1.单项选择题Following a precipitous delivery, examination of the client's vagina reveals a fourth-degree laceration. Which of the following would be contraindicated when caring for this client

A.Applying cold to limit edema during the first 12 to 24 hours.
B.Instructing the client on the use of sitz-baths if ordered.
C.Instructing the client about the importance of perineal (Kegel) exercises.
D.Instructing the client to use two or more peripads to cushion the area.

2.单项选择题The nurse notices that the client's pupils are fixed and dilated. What does this finding indicate

A.The client is permanently paralyzed.
B.The client is going to be blind as a result of an injury.
C.The client probably has meningitis.
D.The client has received a significant brain injury.

3.单项选择题The nurse is caring for a client with cirrhosis. Which manifestations indicate deficient vitamin K absorption caused by cirrhosis

A.Dyspnea and fatigue.
B.Ascites and orthopnea.
C.Purpura and petechiae.
D.Gynecomastia and testicular atrophy.

4.单项选择题A client who is planning a pregnancy asks the nurse about ways to promote a healthy pregnancy. Which of the following would be the nurse's best response

A."Pregnancy is a human process; you don't have to worry. "
B."You practice good health habits; just follow them and you'll be fine. "
C."There is nothing you can do to have a healthy pregnaney; it's all up to nature. "
D."Folic acid, 400 mcg(1mcg= 10μg), improves pregnancy outcomes by preventing certain complications. "

5.单项选择题Which of the following activities should the nurse discourage the client with a peptic ulcer

A.Chewing gum.
B.Smoking cigarettes.
C.Eating chocolate.
D.Taking acetaminophen (Tylenol).

6.单项选择题A new mother is concerned because her breast-feeding neonate wants to "nurse all the time. " Which of the following responses best indicates the normal neonate's breast-feeding behavior

A."Breast milk is ideal for your baby, so his stomach will digest it quickly, requiring more feedings. "
B."Let me call the lactation consultant to make sure that your baby is feeding properly. "
C."Don't worry; your baby is an aggressive feeder and needs a lot of sucking satisfaction. "
D."It seems as if your baby is hungry. Why don't you provide your baby with some formula after the feeding to make sure he's getting enough nourishment"

7.单项选择题A 9-month-old, well-nourished boy who lives with his extensive extended family tests positive for tuberculosis. Which of the following is a risk factor for tuberculosis in this client

A.Male sex.
B.The infant is in the 95th percentile for height and weight.
C.His mother did not receive prenatal care until the second trimester of her pregnancy.
D.Age.

8.单项选择题Which nursing action is most effective in defusing a client's impending violent behavior

A.Helping the client identify and express feelings of anxiety and anger.
B.Involving the client in a quiet activity to divert attention.
C.Leaving the client alone until he can talk about his feelings.
D.Placing the client in seclusion.

9.单项选择题A client with an incomplete small bowel obstruction is to be treated with a Cantor tube. Which of the following measures would most likely be included in the client's care once the Cantor tube has passed into the duodenum

A.Maintain bed rest with bathroom privileges.
B.Advance the tube 2 to 4 inches at specified times.
C.Provide frequent mouth care.
D.Provide ice chips for the client to suck.

10.单项选择题The nurse is caring for a client who is experiencing auditory hallucinations. What would be most critical for the nurse to assess

A.Possible hearing impairment.
B.Family history of psychosis.
C.Content of the hallucinations.
D.Possible sella turcica tumors.