题目内容

A client is in the first postoperative day after a total laryngectomy and radical neck dissection. Which of the following is a priority goal

A. Communicate by use of esophageal speech.
B. Improve body image and self-esteem.
C. Attain optimal levels of nutrition.
D. Maintain a patent airway.

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A 15-year-old primigravida gave birth 2 days ago. She tells the nurse that having her own little baby will be wonderful. Which nursing response would best evaluate the accuracy of the client’s expectations

A. "Tell me what your day will be like after you take your baby home. "
B. "Will anyone be available to help you at home with the baby"
C. "Have you had any experience taking care of babies"
D. "What are you planning to do with your baby when you return to school"

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The nurse is providing home care to a client with failing vision due to macular degeneration. The nurse is concerned about the client’s safety. Which of the following activities would help to lessen the client’s risk of falling

Arranging pieces of furniture close together so the client can use them for guidance and support.
B. Encouraging the client to wear a medical identification bracelet that describes the client’s visual deficit.
C. Installing a flashing light to indicate when the phone or doorbell is ringing.
D. Installing handrails in hallways, in bathrooms, and on steps.

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A 35-year-old client is undergoing a brain computed tomography (CT) scan because of continued migraine headaches. He’s placed in the CT scanner and suddenly begins to complain of palpitations, sweating, shortness of breath, and shaking. The client is most likely experiencing

A. an allergic reaction.
B. a myocardial infarction (MI).
C. a panic attack.
D. a hypoglycemic episod

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A client with a neurogenic bladder is beginning bladder training. Which of the following nursing actions is most important

A. Set up specific times to empty the bladder.
B. Force fluids.
C. Provide adequate roughage.
D. Encourage the use of an indwelling urinary catheter.

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A client is in the first postoperative day after a total laryngectomy and radical neck dissection. Which of the following is a priority goal

A. Communicate by use of esophageal speech. B. Improve body image and self-esteem. C. Attain optimal levels of nutrition. D. Maintain a patent airway.

A 15-year-old primigravida gave birth 2 days ago. She tells the nurse that having her own little baby will be wonderful. Which nursing response would best evaluate the accuracy of the client’s expectations

The nurse is providing home care to a client with failing vision due to macular degeneration. The nurse is concerned about the client’s safety. Which of the following activities would help to lessen the client’s risk of falling

A 35-year-old client is undergoing a brain computed tomography (CT) scan because of continued migraine headaches. He’s placed in the CT scanner and suddenly begins to complain of palpitations, sweating, shortness of breath, and shaking. The client is most likely experiencing

A client with a neurogenic bladder is beginning bladder training. Which of the following nursing actions is most important

A. Communicate by use of esophageal speech.
B. Improve body image and self-esteem.
C. Attain optimal levels of nutrition.
D. Maintain a patent airway.