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《Kaplan NCLEX-RN Question Trainer Test-1》(959-961)

发表日期:2016-12-19 | 来源 :国际护士网 | 作者 :www.the-nurses.com |点击数: 次 收听:
 
959. While obtaining a nursing history from a teenaged client, the client states that she drinks “lots” of fluids and still feels thirsty. It is MOST important for the nurse to ask which of the following questions?

1. “Has your weight recently changed?”
2. “What medications do you take?”
3. “Do you have any allergies to food or medication?”
4. “How often do you menstruate?”

Strategy: Determine how each answer choice relates to the symptoms.

(1) correct—excessive thirst and weight loss are two notable symptoms of diabetes mellitus (IDDM)
(2) does not provide useful information related to the assessment information
(3) does not provide useful information related to the assessment information
(4) does not provide useful information related to the assessment information
  

960. The nurse cares for a 19-year-old woman after delivery of a 7 lb 10 oz baby boy. The patient has decided to bottle-feed her infant. The nurse should encourage the patient to

1. use the manual breast pump to relieve breast engorgement.
2. apply warm packs to the breast to relieve discomfort.
3. massage the breasts to reduce engorgement and discomfort.
4. wear a well supportive bra and take Tylenol for discomfort.

Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired?

(1) will encourage milk secretion
(2) will enhance flow of milk
(3) may be taut due to engorgement, massage would be painful and unnecessary, will encourage milk flow
(4) correct—will help minimize discomfort during period of engorgement

961. A 52-year-old woman complains of chronic constipation. The nurse in the health care clinic should advise the woman to

1. reduce her intake of highly seasoned foods and fats.
2. drink 1,000 cc of fluids daily.
3. increase her intake of cereals, fresh fruits, and vegetables.
4. ask her physician to prescribe Dulcolax 5 mg enteric-coated tablets daily.

Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired?

(1) unnecessary, no effect on constipation
(2) normal intake 1,500–2,000, reduced intake causes constipation
(3) correct—bulk-forming foods help with constipation
(4) passing the buck, laxatives are a last resort
  

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