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.


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2.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.

3.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.

4.单项选择题Which of the following is the most appropriate activity for the nurse to assess motor strength for a neurologically injured client

A.Compare equality of hand grasps.
B.Observe spontaneous movements.
C.Observe the client feed himself.
D.Ask the client to signal if he feels pressure applied to his feet.

5.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.

6.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.

7.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.

8.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.

9.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.

10.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.