Prenatal clients are routinely monitored for early signs of pregnancy-induced hypertension (PIH). For the prenatal client, which of the following blood pressure changes from baseline would be most significant for the nurse to report as indicative of PIH?
A. 140/90 to 148/98
B. 136/88 to 144/93
C. 132/78 to 124/76
D. 114/70 to 140/88
正解:D
解説: (Pass4Test メンバーにのみ表示されます)
質問 2:
A client is diagnosed with organic brain disorder. The nursing care should include:
A. Detailed explanations of procedures
B. Challenging educational programs
C. Organized, safe environment
D. Long, extended family visits
正解:C
解説: (Pass4Test メンバーにのみ表示されます)
質問 3:
Dietary planning is an essential part of the diabetic client's regimen. The American Diabetes Association recommends which of the following caloric guidelines for daily meal planning?
A. 50% complex carbohydrate, 20%-25% protein, 20%-25% fat
B. 60% complex carbohydrate, 12%-15% protein, 20%-25% fat
C. 70% complex carbohydrate, 20%-30% protein, 10%-20% fat
D. 45% complex carbohydrate, 25%-30% protein, 30%-35% fat
正解:B
解説: (Pass4Test メンバーにのみ表示されます)
質問 4:
A client had a right below-the-knee amputation 4 days ago. He is complaining of pain in his right lower leg.
The nurse should:
A. Call the physician to request a psychological consultation for the client
B. Remind the client that he no longer has that part of his leg and assure him he will be OK
C. Turn on the television to distract the client's attention from his amputated leg
D. Give the client his order of Demerol 50 mg IM prn
正解:D
質問 5:
A 52-year-old client who underwent an exploratory laparotomy for a bowel obstruction begins to complain of hunger on the third postoperative day. His nasogastric (NG) tube was removed this morning, and he has an IV of D5W with 0.45% normal saline running at 125 mL/hr. He asks when he can get rid of his IV and start eating. The nurse recognizes that he will be able to begin taking oral fluids and nourishment when:
A. He is able to eat a full meal without evidence of nausea or vomiting
B. His blood pressure returns to its preoperative baseline level or greater
C. The nurse can detect bowel sounds in all four quadrants
D. It is determined that he has no signs of wound infection
正解:C
解説: (Pass4Test メンバーにのみ表示されます)
質問 6:
A 56-year-old client is admitted to the psychiatric unit in a state of total despair. She feels hopeless and worthless, has a flat affect and very sad appearance, and is unable to feel pleasure from anything. Her husband has been assisting her at home with the housework and cooking; however, she has not been eating much, lies around or sits in a chair most of the day, and is becoming confused and thinks her family does not want her around anymore. In assessing the client, the nurse determines that her behavior is consistent with:
A. Mild depression
B. Transient depression
C. Moderate depression
D. Severe depression
正解:D
解説: (Pass4Test メンバーにのみ表示されます)
質問 7:
Succinylcholine chloride (Anectine) is ordered prior to electroconvulsive therapy treatment for depressed clients. The nurse explains that the purpose of the drug is to:
A. Relieve anxiety
B. Relax muscles
C. Act as an anesthetic
D. Reduce secretions
正解:B
解説: (Pass4Test メンバーにのみ表示されます)
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