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?
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Question 40: A client diagnosed with Syndrome of Inappropria…
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 b…
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…
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 car…
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 repor…
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)
Question 31: A 65-year-old male diagnosed with hypothyroidis…
Question 31: A 65-year-old male diagnosed with hypothyroidism and will be starting levothyroxine therapy. He has a history of cardiovascular disease and had two coronary stents inserted 2 years ago, with no problems since then. He is usually active but states that lately, he has felt tired and has no energy to take his usual walks or work around the house. He has been instructed to take the levothyroxine in the morning, 1 hour before breakfast, and to return to the clinic in 4 weeks to check his TSH levels. (Select all that apply.) Based on the patient’s history and new treatment plan, the nurse recognizes that he is currently at risk for which complications?
Question 21: A patient has been admitted to the surgical uni…
Question 21: A patient has been admitted to the surgical unit post subtotal thyroidectomy. Which nursing interventions should the nurse implement? (Select all that apply)
Question 51: A client states that he is confused because the…
Question 51: A client states that he is confused because the PHCP told him that his diabetes insipidus (DI) is nephrogenic. What should the nurse state when describing the difference between nephrogenic DI and neurogenic DI?
Question 36: Which therapeutic response should the nurse rec…
Question 36: Which therapeutic response should the nurse recognize in a client receiving anti-thyroid therapy?