题目内容

When developing the postoperative plan of care for a child who is scheduled to have a tympanostomy tubes inserted into the right ear, which of the following interventions would the nurse identify to accomplish the goal of facilitating drainage

Applying warm compresses to the right ear.
B. Applying a gauze dressing to the left ear.
C. Applying an ice pack to the left ear.
D. Positioning the child to lie on the right sid

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A client with heart failure asks the nurse about the reason for taking enalapril maleate. The nurse would explain that the medication is prescribed for which of the following reason

A. Lower the blood pressure by increasing peripheral vasoconstriction.
B. Lower the heart rate by slowing the conduetion system.
C. Block the conversion of angiotensin Ⅰ to angiotensin Ⅱ.
D. Increase myocardial contractility, thereby improving cardiac output.

To obtain a good monitor tracing on a client in labor, the mother lies on her back. Suddenly, she complains of feeling light-headed and becomes diaphoretic. Which of the following should be the nurse’s first action

A. Reposition the client to her left side.
B. Immediately take the client’s blood pressure and call the physician.
C. Start oxygen at 6 L via nasal cannula.
D. Increase the IV fluids to correct the client’s dehydration.

The client with benign prostatic hypertrophy is prepared for admission to the hospital Which of the following information reported by the emergency room nurse would be most helpful to the nurse responsible for admitting the client

A. "A urine specimen was obtained from the client and sent to the laboratory for analysis. "
B. "The client was catheterized, and 1100 mL of urine was obtained. The urine appeared cloudy, and a specimen was sent to the laboratory. "
C. "The client is very cooperative. He is comfortable now that his bladder has been emptied. He had no ill effects from catheterization. "
D. "The client was in the emergency room for 3 hours because of bladder distention. He is fine now but is being admitted as a possible candidate for surgery. "

A client who recently developed paralysis of the arms is diagnosed with conversion disorder after tests fail to uncover a physical cause for the paralysis. When preparing the plan of care for the client, which of the following interventions should be included in the plan

A. Teaching the client how to use nonpharmacologic pain-control methods.
B. Exercising the client’s arms regularly.
C. Insisting that the client eat without assistance.
D. Working with the client rather than the family.

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