During a lecture on the lymphatic system, the nurse explains to the student nurses the constituents of lymph and the networking of lymphatic vessels. Based on this information, what would be the best information to provide about lymphatic vessels?
A) Thick-walled vessels
B) Have one-way values that prevent backflow
C) Most vessels are located near the arterial system
D) Begin as large closed-ended lymphatic arteries
B
Feedback:
The lymphatic vessels are thin-walled vessels with one-way values that prevent backflow of lymph fluid. Most lymphatic vessels are located near the venous system. Lymphatic vessels begin as a network of tiny closed-ended lymphatic capillaries in spaces between cells.
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The nurse is caring for a client being treated for diarrhea. Why should the nurse instruct the client to avoid drinking with a straw?
A) It stimulates gastrointestinal (GI) motility. B) It causes excessive peristalsis. C) It increases the risk for infection. D) It increases gas and cramping.
A patient being treated for increased intracranial pressure (ICP) from a traumatic brain injury demonstrates an increase in pressure with minimal care activity. What instruction should the nurse provide the nursing student assisting with care for this patient?
1. "We will let this patient rest between his bath and changing his linens." 2. "We are going to bathe this patient, get his linens changed, suction him, and do all of our other care early this morning, so he can get a long rest this afternoon." 3. "Be certain that we don't raise this patient's head above 10 degrees during his bath." 4. "You have to learn to suction patients with traumatic brain injury very quickly, taking no more than 30 seconds."
A parent tells you she found caring for her son at home very difficult at first but now has adjusted. Which of the following would be the most appropriate nursing diagnosis for this family?
A) Readiness for enhanced coping related to home care B) Compromised coping related to difficulty of home care C) Hopelessness related to prolonged home care D) Health-seeking behaviors related to home care
A 20-year-old college student has become increasingly suspicious and isolated over the past few months. The student has begun accusing his roommate and other students of conspiring against him
Last night, he charged his roommate while holding a knife in his hands. On admission, the client receives a diagnosis of paranoid schizophrenia. Which nursing diagnosis should be the first priority for this client? A) Risk for impaired environmental interpretation syndrome B) Disturbed sensory perception C) Risk for other-directed violence D) Disturbed thought processes