题目内容

A hospitalized client craves a drink while withdrawing from alcohol. Which of the following measures is the best way to help the client resist the urge to drink

A routine search of visitors.
B. A locked-door policy.
C. One-to-one supervision by the staff.
D. Support from other alcoholic clients.

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When caring for a client during the second stage of labor, which action would be least appropriate

Assisting the client with pushing.
B. Ensuring the client’s legs are positioned appropriately.
C. Allowing the client clear liquids.
D. Monitoring the fetal heart rat

During the evening shift on the day of the client’s surgery, the nurse notices that the nasogastric tube drains 500 mL of green-brown fluid. What should the nurse do

A. Record the amount of drainage on the client’s chart.
B. Irrigate the tube with normal saline solution.
Call the physician immediately.
D. Increase the intravenous infusion rat

When developing a teaching plan for the mother of a child diagnosed with spastic cerebral palsy, which of the following descriptions would the nurse include

A. Wide-based gait and poor muscle coordination.
B. Tremors and lack of active movement.
C. Increased muscle tone and stretch reflexes.
D. Slow, wormlike writhing movements.

One-year-old Susan, the second child to have sickle cell disease in a family of five children, is admitted to the hospital with sickle cell crisis. When preparing the plan of care for her, which of the following treatments would the nurse most likely expect to include in the plan

A. Intravenous fluid therapy.
B. Fast-acting anticoagulant therapy.
C. Parenteral iron therapy.
D. Exchange transfusion.

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