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Question 44: The nurse is preparing a discharge plan for a client with chronic syndrome of inappropriate antidiuretic hormone.  The nurse would include which treatments in the plan to assist the client with self-management? (Select all that apply)

Question 33: A client who had a subtotal thyroidectomy earlier today develops laryngeal stridor and a cramp in the right hand returning to the surgical nursing unit. Which collaborative action will the nurse anticipate next?

Question 15: Mr. D, a 19-year-old college student has been brought to the emergency room by his roommate. Mr. D reports abdominal pain, polyuria, vomiting, and thirst. He appears flushed, and his lips and mucous membranes are dry and cracked. His skin turgor is greater than 3 seconds. He has deep, rapid respirations, and a fruity odor to his breath. He has a history of Type 1 diabetes. He states “I was cramming for finals and have missed a few doses of insulin”. He is alert but is having trouble focusing on the nurse’s questions. Mr. D’s vital signs and blood glucose are as follows: Blood glucose fingerstick level                       685 mg/dL Blood pressure                                                 100/60 mm/Hg Heart rate                                                          120 beats/min4 Respiratory Rate                                                32 breaths/min Temperature                                                       100.8o F (38.2o C) The arterial blood gas results for Mr. D are: pH                          7.25 PaO2                    97 mm/Hg PaCO2                 25 mm/Hg Bicarbonate      15 mEq/L The HCP ordered an insulin drip for Mr. D to begin at 0.1 units/kg/hr. Mr. D weigh 155 lbs. The pharmacy delivers a premixed bag of 100 units of regular insulin in 100 mL of normal saline. The nurse calculated the infusion pump setting as 10 mL/hr. (Round the weight calculation was to the nearest whole number). What should the charge nurse do to ensure safe administration of this medication?

Question 50: The nurse is assessing a client diagnosed with diabetes insipidus (DI). The nurse is correct to interpret the following findings as classical signs and symptoms of this condition? (Select all that apply).

Question 46: The nurse is educating a client diagnosed with chronic syndrome of inappropriate antidiuretic hormone (SIADH).  The nurse determines that additional instruction is needed when the client makes which statement?

Question 40: A client diagnosed with Syndrome of Inappropriate Anti-diuretic Hormone (SIADH) laboratory values reveal a sodium level of 110 mEg/ml. The nurse would provide the following priority treatment as prescribed for this client.

Question:  13 Mr. D, a 19-year-old premed student has been brought to the emergency room by his roommate. Mr. D reports abdominal pain, polyuria, vomiting, and thirst. He appears flushed, and his lips and mucous membranes are dry and cracked. His skin turgor is greater than 3 seconds. He has deep, rapid respirations, and a fruity odor to his breath. He has a history of Type 1 diabetes. He states “I was cramming for finals and have missed a few doses of insulin”. He is alert but is having trouble focusing on the nurse’s questions. Mr. D’s vital signs and blood glucose are as follows: Blood glucose fingerstick level                       685 mg/dL Blood pressure                                                 100/60 mm/Hg Heart rate                                                          120 beats/min Respiratory Rate                                                32 breaths/minTemperature                                                       100.8o F (38.2o C) Which nursing concept is the priority in planning the initial emergency interventions for Mr. D?

Question 52: The nurse is caring for a client diagnosed with diabetes insipidus. Which action will be most appropriate for the registered nurse (RN) to delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?

Question 59: The primary health care provider prescribed carbamazepine to a client with central diabetes insipidus. The serum osmolarity is 600 mOsm (mmol)/kg. Which will be an effective outcome of the drug?

Question 47: A 56-yr old client who is disoriented and reports a headache and muscle cramps is hospitalized with possible syndrome inappropriate antidiuretic hormone (SIADH) . The nurse would expect the initial laboratory results to include a(an)