The nurse understands that the drug distribution in an infant is affected by which factor?
a. Infants have fewer protein receptor sites.
b. Albumin levels are increased in infants.
c. Infants have lower levels of extracellular fluids.
d. Body fluid proportion for weight is decreased in infants.
ANS: A
Infants have less albumin than older adults and fewer protein receptor sites available for binding with medication. Infants have higher levels of extracellular fluids, increasing the tendency for dehydration and changes in distribution of water-soluble medications.
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The nurse is caring for a school-age client who is scheduled to have major heart surgery the next morning. The nurse enters the room to administer a medication and finds the client crying
Which response by the nurse is most therapeutic? A) "Would you like some toys from the playroom?" B) "I'm going to go get the doctor." C) "You shouldn't cry. You are not in pain." D) "It is okay to cry. I know this is scary."
The nurse is assessing a wound on the medial surface of a patient's left foot. Which of the following assessment findings would indicate that the patient is exhibiting signs of inflammation? (Select all that apply.)
1. Imprint of the patient's sock is visible above ankle 2. Reports pain of 7/10 at site of wound 3. Erythema is present around wound 4. Skin from ankle to toes is cool to the touch 5. Pedal pulse is weaker in the left foot Correct
Empowerment is fostered through which of the following? Select all that apply
a. Self-discovery b. Sense of connectedness c. Support d. Opportunities for choice e. Decreased self-esteem f. Having needed resources, knowledge, and skills
Staff nurse 1: "You're stomping around and glaring at me. I'm wondering what's going on.". Staff nurse 2: "I'm sick of you always going to lunch first. You don't care about anyone but yourself."
What assessment can best be made about this exchange? a. Staff nurse 1's remark is challenging and obstructive. b. Staff nurse 1's remark invites clarification of the meaning of the specific behaviors of staff nurse 2. c. Staff nurse 2's remark will facilitate ef-fective problem solving. d. Staff nurse 2's remark will keep anger at a minimum and give incentive for meeting the other's needs.