The nurse closely assesses clients who experience crushing injuries and are in shock because they are more prone than other clients to develop
a. adult respiratory distress syndrome.
b. disseminated intravascular clotting.
c. fat emboli and respiratory distress.
d. uncompensated metabolic alkalosis.
B
In shock, the slow-moving acidic blood is hypercoagulable; however, it will not coagulate unless some clot-initiating factor is present. Such factors include bacterial endotoxins and thromboplas-tin of red blood cells (liberated by hemolysis). Hemolysis accompanies trauma, especially when massive crushing injury occurs. When any of these factors is present, along with the stagnant, acidic blood of shock, widespread intravascular clotting may occur in the vessels.
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Protein-bound medications frequently cause side effects in older adults because
a. Older adults are more susceptible to adverse drug reactions b. Older adults often have a decreased serum albumin level that increases the amount of free drug c. Older adults take many drugs, and adverse drug reactions are primarily caused by polypharmacy d. Older adults do not have adequate kidney function to excrete protein-bound drugs
The nurse is caring for an 85-year-old woman diagnosed with a roundworm infection in addition to heart disease, chronic renal failure, and history of a stroke. The patient is prescribed mebendazole
What assessments will be of particular importance for this patient related to drug therapy? (Select all that apply.) A) Hydration B) Nutritional status C) Liver function D) Cognitive function E) Respiratory function
The school nurse is approached by an 8-year-old student. The student says that he learned in science class that the outer layer of the skin is dead cells
The student wants to know which of his cells is going to die so they can be covered with skin. What would be the nurse's best response? A) "All cells die and the body replaces most of them. The cells thought to form the barrier of the outer layer of the skin are called keratin cells." B) "All cells die and the body replaces most of them. The cells thought to form the barrier of the outer layer of the skin are called melanocytes." C) "All cells die and the body replaces most of them. The cells thought to form the barrier of the outer layer of the skin are called Merkel cells." D) "All cells die and the body replaces most of them. The cells thought to form the barrier of the outer layer of the skin are called Langerhans' cells."
When performing a succession splash in a patient suspected of having a gastric outlet obstruction, which result would suggest this diagnosis?
A) A splashing sound auscultated in upper abdomen 1 hour after a meal B) A splashing sound auscultated in upper abdomen 3 hours after a meal C) No splashing sound auscultated in upper abdomen 3 hours after a meal D) No splashing sound auscultated in upper abdomen 1 hour after a meal