题目内容

The nurse is teaching the client how to use a cane. Which of the following statements is most inaccurate

A. The client should hold the cane on the involved side.
B. The client should hold the cane close to his body.
C. The stride length and the timing of each step should be equal.
D. The nurse should stand behind the client to prevent falls.

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Of the following signs and symptoms of bowel obstruction, which is related primarily to small bowel obstruction rather than large bowel obstruction

A. Profuse vomiting.
B. Cramping abdominal pain.
C. Abdominal distention.
D. High-pitched bowel sounds above the obstruction.

David, a hyperkinetic 5-year-old, exhibits signs of extreme restlessness, short attention span, and impulsiveness. In order to alter the child’s milieu that would likely be most therapeutic for him, what could the nurse do

A. Define behaviors of the child that will be acceptable and those that will be unacceptable.
B. Allow the child freedom to choose activities in which to participate and other children with whom to associate.
C. Increase the child’s sensory stimulation and activity.
D. Limit the child’s opportunities to display anger and frustration.

Which of the following signs or symptoms would be of least importance when the nurse evaluates the client for postoperative peripheral nerve damage

A. Pain.
Bleeding.
C. Altered sensation.
D. Pulselessness.

The nurse is caring a client in an acute care mental health program. The client refuses his morning dose of an oral antipsychotic medication and believes he’s being poisoned. What should the nurse do

A. Crushing the medication and putting it in his food.
B. Consulting with the physician about a plan of care.
C. Administering the medication by injection.
D. Omitting the dose and trying again the next day.

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