题目内容

A woman tells the nurse that her 6-year-old daughter has severe nosebleeds. Which of the following instructions should the nurse give this woman to manage nosebleeds

A. Help the child assume a comfortable position with her head tilted backward.
B. Tilt the child’s head backward and place firm pressure on the nose.
C. Help the child lie on her stomach and collect the blood on a clean towel.
D. Place the child in a sitting position with her neck bent forward and apply firm pressure on the nasal septum.

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The nurse is caring for a client hospitalized on numerous occasions for complaints of chest pain and fainting spells, which she attributes to her deteriorating heart condition. No relatives or friends report ever actually seeing a fainting spell. After undergoing an extensive cardiac, pulmonary, GI, and neurologic workup, she’s told that all test results are completely negative. The client remains persistent in her belief that she has a serious illness. What diagnosis is appropriate for this client

A. Exhibitionism.
B. Somatoform disorder.
C. Degenerative dementia.
D. Echolali

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Which of the following functions would the nurse expect to be unrelated to the placenta

A. Production of estrogen and progesterone.
B. Detoxification of some drugs and chemicals.
C. Exchange site for food, gases, and waste.
D. Production of maternal antibodies.

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Nursing measures for the client who has had an MI include helping the client to avoid activity that results in Valsalva’s maneuver. Valsalva’s maneuver may cause cardiac dysrhythmias, increased venous pressure, increased intrathoracic pressure, and thrombi dislodgment. Which of the following actions would help prevent Valsalva’s maneuver

A. Have the client drink fluids through a straw.
B. Have the client avoid holding her breath during activity.
C. Have the client assume a side-lying position.
D. Have the client clench her teeth while moving in be

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The correct procedure for auscultating the client’s abdomen for bowel sounds would include

A. palpating the abdomen first to determine correct stethoscope placement.
B. encouraging the client to cough to stimulate movement of fluid and air through the abdomen.
C. placing the client on the left side to aid auscultation.
D. listening for 5 minutes in all four quadrants to confirm absence of bowel sounds.

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