题目内容

A multigravid client in active labor is about to deliver. The nurse has no help immediately available. What should the nurse do first

A. Prepare a clean area on which to deliver the neonate.
B. Lower the head of the bed to a flat position.
C. Have the client push with a contraction.
D. Ask the client to take a deep breath and hold it.

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A woman seeking help at a community mental health center complains of fatigue, sensitivity to criticism, decreased libido, and feeling self-conscious. She also has aches and pains. A nursing diagnosis for this client might include

A. Delayed growth and development.
B. Ineffective role performance.
C. Posttrauma syndrome.
D. Chronic low self-esteem.

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The mother of a 3-year-old calls the emergency room nurse at 3.00 AM and reports her child has a temperature of 101.1°F (38.4℃), a runny nose, and a barky cough that "gets going and won’t stop. " The mother states that she just gave the child acetaminophen (Tylenol). Which of the following should the nurse recommend next

A. Giving the child an over-the-counter decongestant.
B. Administering aspirin in 2 hours.
C. Sitting with the child in a steamy warm bathroom.
D. Running a steam vaporizer near the child’s bedsid

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A child with leukemia presents with peteehiae; gums, lips, and nose that bleed easily; and bruising on various parts of her body. Which of the following laboratory test results would the nurse correlate with these findings

A. Platelet count of 80×103/mm3.
B. Serum calcium level of 5 mg/dL.
C. Fibrinogen level of 75 mg/dL.
D. Partial thromboplastin time (PTT) of 38 seconds.

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After a gastrectomy, the client will have a nasogastric tube in place for several days postoperatively. The nurse explains to the client that the nasogastric tube is for which of the following reasons

A. Prevent excessive pressure on suture lines.
B. Prevent the development of ascites.
C. Provide enteral feedings in the immediate postoperative period.
D. Enable administration of antacids to promote healing of the anastomosis.

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A multigravid client in active labor is about to deliver. The nurse has no help immediately available. What should the nurse do first

A. Prepare a clean area on which to deliver the neonate. B. Lower the head of the bed to a flat position. C. Have the client push with a contraction. D. Ask the client to take a deep breath and hold it.

A woman seeking help at a community mental health center complains of fatigue, sensitivity to criticism, decreased libido, and feeling self-conscious. She also has aches and pains. A nursing diagnosis for this client might include

A child with leukemia presents with peteehiae; gums, lips, and nose that bleed easily; and bruising on various parts of her body. Which of the following laboratory test results would the nurse correlate with these findings

After a gastrectomy, the client will have a nasogastric tube in place for several days postoperatively. The nurse explains to the client that the nasogastric tube is for which of the following reasons

A. Prepare a clean area on which to deliver the neonate.
B. Lower the head of the bed to a flat position.
C. Have the client push with a contraction.
D. Ask the client to take a deep breath and hold it.