A student nurse is reviewing the use of intravenous (IV) fluids for a school paper. Which definition should the student use to explain the process of diffusion?
a. The expenditure of energy to transport a solute
b. The movement of solute and water caused by hydrostatic pressure differences
c. Movement of a solute from an area of higher concentration to an area of lesser concentration
d. Movement of water from an area of lesser concentration to an area of higher concentration
ANS: C
C. Diffusion is a process in which a substance moves from an area of higher concentration to an area of lower concentration. D. Movement of water refers to osmosis. A. Active transport involves expenditure of energy. B. Filtration is promoted by hydrostatic pressure differences between areas.
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The nurse observes a client on an antipsychotic medication and notes a pill-rolling movement of the fingers and a tremor of the extremities. The nurse documents this as what type of side effect?
1. Drug-induced parkinsonism 2. Dystonia 3. Anticholinergic effect 4. Tardive dyskinesia
A nurse is caring for a client with suicidal tendencies. Which of the following would be most important for the nurse to do after administering the drug orally?
A) Inspect the oral cavity to ensure that the drug is swallowed. B) Monitor body temperature for changes. C) Monitor blood pressure for unusual changes. D) Inspect pulse rate for unusual changes.
A patient has sustained a spinal cord injury resulting in paraplegia. To promote skin integrity, the nurse should include which of the following when teaching the patient?
A) Reposition yourself every 4 hours. B) Reposition yourself in the wheelchair every 3 hours. C) Eat a diet high in calcium and vitamin D. D) Keep your skin meticulously clean.
When assisting a 5-year-old child to develop the ability to delay gratification, it is most valuable for the nurse to:
a. teach parents to assign a point system for expected daily activities. b. develop the nurse-patient relationship during unstructured playtime. c. encourage the child to express feelings when feeling frustrated. d. model the ability to delay gratification.