Which statement by the staff indicates teaching was successful concerning aldosterone? Secre-tion of aldosterone results in:
a. decreased plasma osmolality.
b. increased serum potassium levels.
c. increased blood volume.
d. localized edema.
ANS: C
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An alternative modality frequently used by nurses that has a strong research base is
a. healing touch c. aroma therapy b. reflexology d. therapeutic touch
The nurse shows an appropriate understanding of the health promotion needs of an older adult client when:
1. Offering to arrange a pneumococcal vaccine for a client turning 60 years old. 2. Assessing the 62-year-old client for situational depression. 3. Discussing smoking cessation classes with a 64-year-old. 4. Asking a 78-year-old client whether he had his cholesterol tested within the last 3 years. 5. Measuring the 79-year-old client's height and weight.
A newly delivered obstetrical client with an A- blood type asks when she will get her Rh0(D) immune globulin (RhoGAM) injection. Which statement should the nurse provide?
A. "When we verify your blood type." B. "When we verify your Rh factor." C. "When we verify your infant's Rh factor." D. "When we verify your infant's blood type."
MC Clinical Situation: You administer a Fleet's enema to a client who expels only about half of the solution with small flecks of brown stool returned with the solution
The client states she needs another enema because she does not feel as though she has emptied her bowel completely. To provide a more effective result if a repeat enema is ordered, the nurse instructs the client to A. Use a bedpan for expulsion. B. Hold the enema solution for 7 minutes. C. Remain on her right side for 10 minutes. D. Insert tip of enema tube at least 6 inches.