The nurse in charge of the Alzheimer's unit reminds the nursing assistants several times each shift to offer all the clients a drink and snack
She understands adequate hydration is essential because an even core temperature in the body is maintained as heat from metabolism and physical activity is absorbed by: 1. Muscle.
2. Fat.
3. Skin.
4. Water.
4
Rationale: Heat produced by metabolism and physical activity are absorbed by water in the body and dissipated to maintain an even core body temperature. This type of water loss is referred to as insensible since it is difficult to measure.
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A college student who failed two tests cried for hours and then tried to telephone a parent but got no answer. The student then gave several expensive sweaters to a roommate and asked to be left alone for a few hours
Which behavior provides the strongest clue of an impending suicide attempt? a. Calling parents b. Excessive crying c. Giving away sweaters d. Staying alone in dorm room
A 7-year-old boy has been the victim of abuse. He appears stoic and disconnected while being interviewed by the nurse. Although he currently has a painful injury, he does not cry or flinch when the area is touched. The nurse understands that:
A) the child has learned to cope by shutting off his feelings. B) the child is mentally ill. C) the child is refusing to cooperate with the interview. D) the abuse is likely short-lived.
When the nurse is evaluating the fluid balance for a patient admitted for hypervolemia associated with multiple draining wounds, the most accurate assessment to include is:
a) Skin turgor b) Daily weight c) Presence of edema
The nurse recognizes the terminology that applies to culture and ethnicity and its correct application. Which of the following would be true for a client who goes through the process of assimilation?
a. The client will coexist with people of other cultures in society and maintain his or her own cultural differences. b. The client will gradually adopt the attitudes and customs of the mainstream cul-ture. c. The client will socialize within his or her primary cultural group. d. The client will treat people unfairly based on group membership.