单项选择题

Emergency medical technicians transport a 28-year-old iron worker to the emergency department. They tell the nurse, "He fell from a two-story building. He has a large contusion on his left chest and a hematoma in the left parietal area. He has a compound fracture of his left femur and he’s comatose. We intubated him and he’s maintaining an arterial oxygen saturation of 92% by pulse oximeter with a manual-resuscitation bag. " Which intervention by the nurse has the highest priority（）

A. Assessing the left leg.
B. Assessing the pupils.
C. Placing the client in Trendelenburg’s position.
D. Assessing level of consciousness.

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单项选择题Which nursing intervention would most likely lead to a hyposmolar state（）

A. Performing nasogastric (NG) tube irrigation with normal saline solution.
B. Weighing the client daily.
C. Administering tap water enema until the return is clear.
D. Encouraging the client with excessive perspiration to drink broth.

单项选择题To prevent gastroesophageal reflux in a client with hiatal hernia, the nurse should provide which discharge instructions

A. Lie down after meals to promote digestion.
B. Avoid coffee and alcoholic beverages.
C. Take antacids before meals.
D. Limit fluids with meals.