A charge nurse is reinforcing teaching to a group of nurses about hydrostatic pressure. Which of the following should the nurse include as a contributor to hydrostatic pressure?
Excretion of calcium by the kidneys
Osmotic pressure
Pressure exerted by contraction of the heart
Pressure applied by plasma proteins
The Correct Answer is C
A. The excretion of calcium by the kidneys is related to electrolyte balance and bone health but does not directly contribute to hydrostatic pressure in the vasculature.
B. Osmotic pressure is the force exerted by solutes (such as plasma proteins) drawing water into the bloodstream, which opposes hydrostatic pressure. It does not directly contribute to hydrostatic pressure but rather counterbalances it.
C. Hydrostatic pressure is primarily generated by the force of the heart's contraction, which pushes blood through the arteries and capillaries. This pressure drives fluid out of the blood vessels into the surrounding tissues, a crucial process in nutrient and waste exchange.
D. Pressure applied by plasma proteins contributes to oncotic (colloid osmotic) pressure, not hydrostatic pressure. Oncotic pressure pulls fluid into the capillaries, opposing the outward force of hydrostatic pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Encourage the client to drink more fluids: Increasing fluid intake helps thin respiratory secretions, making them easier to clear from the lungs. Hydration is crucial in managing pneumonia to help with mucus mobilization.
B. Encourage regular use of the incentive spirometer: While the incentive spirometer helps with lung expansion and preventing atelectasis, it does not directly affect the viscosity of secretions.
C. Encourage coughing and deep breathing: Coughing and deep breathing are important for clearing secretions, but they are more effective once the secretions are already thin. Drinking fluids is a more direct method to thin the secretions.
D. Encourage the client to ambulate more often: Ambulation is beneficial for overall respiratory health and lung function, but it does not directly thin respiratory secretions. Increasing fluid intake is more effective for this purpose.
Correct Answer is D
Explanation
A. Hepatitis B is a viral infection that affects the liver, not an environmental factor associated with asthma or allergies. Avoiding Hepatitis B would be unrelated to managing asthma or allergies.
B. Cockroaches can trigger asthma symptoms, particularly through their droppings and shed body parts, which are common allergens. However, while significant, mold is often a more pervasive and impactful trigger, especially in damp environments.
C. Radon is a radioactive gas that can increase the risk of lung cancer over time but is not directly linked to asthma or allergies. It is an environmental concern but not specifically for managing asthma or allergies.
D. Mold is a well-known allergen that can exacerbate asthma symptoms. Mold spores, which are often found in damp environments, can cause significant respiratory issues and should be avoided by individuals with asthma and allergies.
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