During cell injury caused by hypoxia, why does an increase in the osmotic pressure within the cell occur?
a. Plasma proteins enter the cell.
b. The adenosine triphosphatase (ATPase)-driven pump is stronger during hypoxia.
c. Sodium chloride enters the cell.
d. An influx of glucose occurs through the injured cell membranes
Answer: c. Sodium chloride enters the cell.
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The nurse is reviewing the medical record for a school-age client prior to a scheduled health maintenance visit. Which data indicates the client is overweight?
A) A BMI of > 85th percentile. B) A BMI of > 95th percentile. C) A 25 percentage point increase in weight in 6 months is categorized as being overweight, regardless of the baseline (e.g., 6 month's previous) percentile. D) A 35 percentage points in 6 months is categorized as being overweight, regardless of the baseline (e.g., 6 month's previous) percentile.
A 94-year-old patient is receiving gentamicin sulfate (Garamycin) in a continuous intravenous (IV) infusion. The nurse adds to the nursing care plan the diagnosis "Risk for injury." What nursing action should be implemented?
a. Pull side rails in place. b. Assist with ambulation. c. Measure intake and output. d. Provide for a possible seizure.
The nurse explains that with the continued rise in ammonia levels in the cirrhotic patient, the diet will be modified to restrict:
1. protein. 2. carbohydrates. 3. fats. 4. water-soluble vitamins.
The home health nurse is providing care to a 2-week-old newborn, and notes that the baby has a necklace with a charm around the neck. The parents state that they believe the charm will keep the baby healthy
Which nursing action is most appropriate? 1. Report the parent to Social Services for endangering the child. 2. Respect the parents' wishes and leave the necklace in place. 3. Remove the necklace and inform the parents that it is dangerous. 4. Ask the parents to remove the necklace.