单项选择题

Which of the following would the nurse interpret as indicating that a child is receiving too much intravenous fluid too rapidly（）

A. Marked increase in abdominal girth.
B. Evidence of protein in the urine.
C. Dark amber colored urine.
D. Moist crackles in the lung fields.

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单项选择题A client undergoes a total laryngectomy and tracheostomy formation. On discharge, which instruction should the nurse give to the client and family

A. "Clean the tracheostomy tube with alcohol and water. "
B. "Family members should continue to talk to the client. "
C. "Oral intake of fluids should be limited for 1 week only. "
D. "Limit the amount of protein in the diet. \

单项选择题Which nursing measure would be most effective in helping the client cough and deep breathe after a cholecystectomy

A. Having the client take rapid, shallow breaths to decrease pain.
B. Having the client lay on the left side while coughing and deep breathing.
C. Teaching the client to use a folded blanket or pillow to splint the incision.
D. Withholding pain medication so the client can be alert enough to follow the nurse’s instructions.