A nurse in the intensive care unit is closely monitoring the fluid balance of an acutely ill patient. The nurse is aware that insensible water loss from the epidermis occurs constantly

What characteristic of the stratum corneum of the epidermis limits epidermal water loss?
A) The presence of semipermeable membranes in epidermal skin cells
B) The presence of lipids in the stratum corneum
C) The inability to selectively sequester water in the cells of the stratum corneum
D) The hypertonic intracellular environment in cells of the stratum corneum

B

Nursing

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After teaching a group of students about acute rheumatic fever, the instructor determines that the teaching was successful when the students identify which of the following as an assessment finding?

A) Janeway lesions B) Jerky movements of the face and upper extremities C) Black lines D) Osler nodes

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Which statement best illustrates that the main causes of teen mortality are high-risk behaviors?

a. Teenagers generally leave home before they are mature enough. b. Teenagers often engage in activities that put them at risk for life-threatening dis-eases. c. Teenagers are prone to developing chronic diseases that lead to disability early in life. d. Teenagers want to get pregnant at an early age to be able to enjoy life later on.

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Evaluation of the dually diagnosed client's progress is often a difficult process. Which of the following best describes the problem with this ongoing, ever-changing process?

A) Clients often run out of money for treatment during this phase. B) Clients' families become burned out during this phase. C) Clients have a high potential for relapse and recidivism during this phase. D) Clients do not often continue to participate in treatment after detoxification.

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A patient states, "I'm starting cognitive behavioral therapy. What can I expect from the sessions?" Which responses by the nurse are appropriate? Select all that apply

a. "The therapist will be active and questioning."
b. "You may be given homework assignments."
c. "The therapist will ask you to describe your dreams."
d. "The therapist will help you look at ideas and beliefs you have about yourself."
e. "The goal is to increase your subjectivity about thoughts that govern your behavior."
     

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