As a nurse, which of the following would you recognize as accurately describing the phenomenon of first-pass metabolism?
1. Sublingual medications pass first through the mucosal lining of the mouth.
2. Intradermal medications are absorbed first by the skin and then by underlying tissue.
3. Oral medications are metabolized by the liver before entering the bloodstream.
4. Intramuscular injections pass through the subcutaneous layer of skin into muscle.
ANS: 3
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During a routine physical examination, a preadolescent tells the nurse, "I am too fat and I'm going to do whatever I can to look like the girls on the cover of fashion magazines."
The nurse plans care for this client based on which risk factor for eating disorders? A) A desire for a long-term profession B) Societal influences on body weight for girls C) Unrealistic expectations D) Family influences on body weight
The parents of child recovering from surgery to repair vesicoureteral reflux ask the nurse if they can do anything to help with the care of their child. What should the nurse encourage the parents to do at this time?
A) Help the child with a tub bath. B) Bring in games and other diversions to keep the child distracted while on bed rest. C) Assist the child out of bed while keeping the drainage bags below the level of the catheter. D) Provide hard candy to help with mouth dryness because the child will be on a fluid restriction.
The nursing instructor is preparing clinical pathways to use in class because they provide: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Essential nursing activities. 2. Basic guidelines for outcomes. 3. Information that allows the nurse to evaluate patient responses. 4. Examples of all steps of the nursing process. 5. For the organizing of patient care.
The nurse is counseling a family whose 4-year-old child has mild mental retardation. The nurse is working with the family on realistic long-term goals. Which of the following would be most appropriate?
A) Locating suitable residential placement for the child B) Finding a foster home for the child C) Achieving independent functioning of the child as an adult D) Preventing the onset of psychiatric disorders in the child