题目内容

The nurse is interviewing a client who is currently under the influence of a controlled substance and shows signs of becoming agitated. What should the nurse do

A. Use confrontation.
B. Express disgust with the client's behavior.
C. Be aware of hospital security.
D. Communicate a scolding attitude to intimidate the client.

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An adolescent girl who is receiving chemotherapy for leukemia is admitted for pneumonia. The adolescent's platelet count is 50,000 μL. Which of the following would be inappropriate to include in the plan of care

A sign over the bed that reads "NO NEEDLE STICKS AND NOTHING PER RECTUM".
B. Two peripheral IV intermittent infusion devices, one for blood draws and one for infusions.
C. Administration of oxygen at a rate of 4 L/min using a nonhumidified nasal cannula.
D. Use of a tympanic membrane sensor to measure the client's temperature at the bedside.

After assessing a newly admitted 5-year-old child, the nurse makes the nursing diagnosis of Parental role conflict related to child's hospitalization. Which defining characteristic would most suggest this diagnosis

A. Supportive child-parent interaction (speaking, listening, touching, and eye-to-eye contact).
B. Parents' active participation in child's physical or emotional care.
C. Parents' failure to use available support systems or agencies to assist in coping.
D. Evidence of adaptation to parental role changes.

A client is admitted with atrial fibrillation. The physician noted a pulse deficit. The pulse deficit measures which of the following

A. The difference between apical and radial pulse rates.
B. The difference between systolic and diastolic blood pressures.
C. The amount of blood ejected from the left ventricle per minute.
D. The percentage of blood emptied from the ventricle during contraction.

A 3-year-old child with Down syndrome is admitted to the pediatric unit with asthma. The child doesn't enunciate words well and holds onto furniture when he walks. The nurse should ask the mother

A. how long the child has been like this.
B. if the child can walk without holding onto furniture.
C. how the child's condition today differs from his normal condition.
D. if the child always drools.

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