题目内容

A client undergoes a total hip replacement. Which statement made by the client would indicate to the nurse that the client requires further teaching

A. "I'll need to keep several pillows between my legs at night. "
B. "I need to remember not to cross my legs. It's such a habit. "
C. "The occupational therapist is showing me how to use a 'sock puller' to help me get dressed. "
D. "I don't know if I'll be able to get off that low toilet seat at home by myself. "

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A client with schizophrenia hears a voice telling him he is evil and must die. The nurse understands that the client is experiencing （）

A. a delusion.
B. flight of ideas.
C. ideas of reference.
D. a hallucination.

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A 15-year-old female with a urinary tract infection is admitted to the facility. She tells the nurse she hopes she's pregnant. Which of the following would be the best response by the nurse

A. "Does your mother know about this"
B. "Tell me what pregnancy would mean to you. "
C. "Congratulations. Does the baby's father know"
D. "I hope you aren't pregnant; you're too young. "

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A client is admitted to the hospital for treatment of Prinzmetal's angina. When developing the client's plan of care, the nurse should remember that this type of angina is triggered by

A. coronary artery spasm.
B. an unpredictable amount of activity.
C. activities that increase oxygen demand.
D. an unknown source.

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A 28-year-old nurse has complaints of itching and a rash of both hands. Contact dermatitis is initially suspected. The diagnosis is confirmed if the rash appears

A. erythematous with raised papules.
B. dry and scaly with flaking skin.
C. inflamed with weeping and crusting lesions.
D. excoriated with multiple fissures.

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