The nurse is reviewing a client's laboratory studies. The extracellular fluid contains: Standard Text: Select all that apply
1. Sodium.
2. Chloride.
3. Magnesium.
4. Protein.
5. Sulfate.
1,2,3,4
Rationale: Extracellular fluid contains sodium and other salts that break up into electrically charged particles when dissolved in water.
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After assessing the older male adult in his bed, the nurse determines that he is at high risk for falls. The nurse leaves the room to get a fall risk sign and returns to find him on the floor pleading for help
Which was the most important intervention the nurse should have implemented to prevent this event? a. Call for someone to bring the sign. b. Show him how to use the call bell. c. Provide a urinal and drinking water. d. Instruct the patient to call for help.
The nurse is preparing to perform postural drainage with an older patient. Which action would the nurse perform first?
A) Rest period B) Oral hygiene C) Position for postural drainage D) Administer aerosol medications
Which statement by a patient would the nurse interpret as willingness to collaborate in the nurse–patient relationship?
a. "I know you are here to help me, and will do whatever you tell me to do." b. "I didn't want to deal with this at first, but I'm glad you made me face it." c. "I realize that I have some issues that I need help resolving." d. "I will do anything to get out of this hospital."
A client was admitted with multi-infarct dementia. Nursing assessment and interview of the client would include what?
A) Electroencephalogram, X-rays, blood chemistries, and skull series B) Intellectual ability, health history, and self-care ability C) Early parent–child conflict and relational patterns D) Assessment of deep tendon reflexes and muscle strength