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单项选择题

On initial assessment of a 7-year-old with rheumatic fever, which of the following would require the nurse to contact the physician immediately

A. Heart rate of 150 bpm.
B. Twitching in the extremities.
C. Red rash on the trunk.
D. Swollen and painful knee joints.
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单项选择题A client who recently developed paralysis of the arms is diagnosed with conversion disorder after tests fail to uncover a physical cause for the paralysis. When preparing the plan of care for the client, which of the following interventions should be included in the plan

A. Teaching the client how to use nonpharmacologic pain-control methods.
B. Exercising the client’s arms regularly.
C. Insisting that the client eat without assistance.
D. Working with the client rather than the family.

单项选择题The nurse is caring a client in an acute care mental health program. The client refuses his morning dose of an oral antipsychotic medication and believes he’s being poisoned. What should the nurse do

A. Crushing the medication and putting it in his food.
B. Consulting with the physician about a plan of care.
C. Administering the medication by injection.
D. Omitting the dose and trying again the next day.