单项选择题

Which of the following would the nurse expect to include in the plan of care for a client with diabetes who is in labor

A. Measuring urine output every 4 hours.
B. Monitoring blood glucose levels every hour.
C. Administering insulin subcutaneously every 4 hours.
D. Checking deep tendon reflexes every 2 hours.
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单项选择题
The nurse is irrigating a client’s colostomy when the client complains of abdominal cramping after receiving about 100 mL of the irrigating solution. What should the nurse do first
A. Stop the flow of solution temporarily.
B. Reposition the client on to her right side.
C. Remove the irrigation tube.
D. Massage the abdomen gently.
单项选择题
The client was admitted with severe head injury resulting from a motor vehicle accident. The client is presently unconscious. To facilitate rehabilitation when the client’s condition allows, the nurse should
A. maintain limbs in the position of function.
B. apply restraints to arms and legs to control spasms.
C. exercise just the arms as the legs maintain their tone longer.
D. notify physical therapy as soon as the physician orders passive range of motion.
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