题目内容

An adolescent is admitted to the hospital for headaches. She approaches the nurse and confides that she is being sexually abused by a family friend. Which of the following would be the nurse’s best initial response

A. "Can you tell me what happened"
B. "I believe you; you were right to tell me. "
C. "Have you told your mother and father about this"
D. "Who else have you told about this"

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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.

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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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An adolescent is admitted to the hospital for headaches. She approaches the nurse and confides that she is being sexually abused by a family friend. Which of the following would be the nurse’s best initial response

A. "Can you tell me what happened" B. "I believe you; you were right to tell me. " C. "Have you told your mother and father about this" D. "Who else have you told about this"

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

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

A. "Can you tell me what happened"
B. "I believe you; you were right to tell me. "
C. "Have you told your mother and father about this"
D. "Who else have you told about this"