题目内容

A client is having autonomic dysreflexi

A. a. What should the nurse do firstA. Place the client in Fowler’s position.B. Send a urine sample for culture.C. Administer nitroprusside sodium (Nipride) intravenously.D. Call the physician.

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A client is at risk for developing a pressure ulcer. The first warning of an impending pressure ulcer is when pressure applied to skin it turns

A. whitish.
B. yellowish.
C. bluish.
D. reddis

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A client with a retinal detachment does not understand what happened to his eye and asks the nurse’s explanation. Which of the following would be the nurse’s best response to describe the pathology of retinal detachment

A. "The optic nerve is damaged when it is exposed to vitreous humor. "
B. "A tear in the retina permits the escape of vitreous humor from the eye. "
C. "The two layers of the retina separate, allowing fluid to enter between them. "
D. "Retinal injury produces inflammation and edema that increase intraoeular pressure. "

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A client with iron-deficiency anemia is prescribed liquid iron supplements. The nurse teaches the client’s about how to take this drug. Which of the following statements by the client indicates that the education is effective

A. "I will report any black stools to the physician. "
B. "I will dilute the medication and drink it with a straw. "
C. "I will check my gums for any bleeding. "
D. "I can use antidiarrheal drugs if I develop diarrhea. "

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As the nurse helps the client prepare for discharge, the client says, "You know, I’ve been in lots of hospitals and I know when I’m sick enough to be there. I’m not that sick now. You don’t need to worry about me. " Which of the following would be the most therapeutic response by the nurse

A. "We’re concerned about you. How can we help you before you leave"
B. "We could have helped you more if you had told us more. "
C. "Is there any information you need before you leave the hospital"
D. "Okay, you know best. "

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