While orienting to the medical surgical care unit, the new graduate is assigned to care for an 82-year-old client on the day shift. At the end of the 8-hour shift, the graduate records 50 cc as oral intake
When the preceptor questions the graduate nurse about the amount recorded, the nurse reports the client was not thirsty all day. What response by the preceptor is indicated?
A) "That often happens if the client is tired."
B) "You must force a fluid intake of at least 1000 cc per shift."
C) "As long as the output is adequate, this intake is sufficient."
D) "Thirst may be diminished in the elderly, so you really need to work harder to ensure adequate intake."
D
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A patient newly diagnosed with atherosclerosis wants to know what the plaque building up in his arteries actually consists of. Which of the following should the nurse mention? Select all that apply
A) Fatty substances B) Osteocytes C) Epithelial tissue D) Cholesterol E) Cellular waste products F) Collagen and elastic fibers
The nursing instructor is discussing the difference between normal cells and cancer cells with the pre-nursing class in pathophysiology. What would the instructor cite as a characteristic of a cancer cell?
A) Malignant cells contain more fibronectin. B) The cell membrane of malignant cells contains proteins called tumor-specific antigens. C) Chromosomes are commonly found to be strong. D) Nuclei of cancer cells are large and regularly shaped.
Which gland can be stimulated by corticotropin (adrenocorticotropic hormone [ACTH])?
a. Thyroid b. Parathyroid c. Pituitary d. Adrenal
When administering an intramuscular (IM) injection, the nurse obtains blood during aspiration. What action by the nurse is appropriate?
a. Wait 30 minutes before giving the ordered medication. b. Notify the healthcare provider of the situ-ation. c. Continue to administer the ordered medi-cation. d. Stop the administration and discard the syringe.