题目内容

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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The nurse is assessing a client who gave birth yesterday. Where should the nurse expect to find the top of the client’s fundus

A. One fingerbreadth above the umbilicus.
B. One fingerbreadth below the umbilicus.
C. At the level of the umbilicus.
D. Below the symphysis pubis.

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A primigravida client with acquired immunodeficiency syndrome (AIDS) is in labor at term. In preparing her nursing care plan, the nurse should include which of the following nursing diagnoses

A. Risk for fetal or maternal injury related to the crisis of childbearing.
B. Risk for infection related to suppressed immune status.
C. Risk for deficient fluid volume related to dehydration.
D. Risk for fetal injury related to uteroplacental insufficiency.

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