单项选择题In performing a routine fundal assessment, the nurse finds a client's fundus to be "boggy. " What action should the nurse take first

A.Call the physician.
B.Massage the fundus.
C.Assess lochia flow.
D.Start methylergonovine as ordered.


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1.单项选择题A 30-year-old client with 7 months pregnancy reports severe leg cramps at night. Which nursing action would be most effective in helping her cope with these cramps

A.Suggesting that she walk for 1 hour twice per day.
B.Advising her to take over-the-counter calcium supplements twice per day.
C.Teaching her to dorsiflex her foot during the cramp.
D.Instructing her to increase milk and cheese intake to 8 to 10 servings per day.

2.单项选择题A toddler with croup is given a vaponefrin updraft because of increasing respiratory distress. The nurse evaluates the treatment as being effective when see which of the following

A.The child's color is normal.
B.The child's retractions are less severe.
C.The child's heart rate is 100 bpm.
D.The child's pulse oximeter reads 90.

3.单项选择题A client is receiving a radiation implant for the treatment of bladder cancer. Which of the following interventions is appropriate

A.Flush all urine down the toilet.
B.Restrict the client's fluid intake.
C.Place the client in a semiprivate room.
D.Monitor the client for signs and symptoms of cystitis.

4.单项选择题Which of the following would the nurse expect to include in a community health program designed to control sexually transmitted diseases (STDs)

A.Mass screening of all individuals.
B.Location of the possible sources of infection.
C.Treatment of those with the disease.
D.Isolation of those suspected of having STDs.

5.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.

6.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.

7.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.

8.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.

9.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. "

10.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).