Which of the following is true of antidiuretic hormone (ADH)?
A. ADH is not a polypeptide.
B. ADH is primarily involved with labor contractions before birth.
C. ADH is primarily involved with milk ejection after birth.
D. The supraoptic nuclei is a neuron where ADH is synthesized.
Answer: D
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A nurse is caring for a client diagnosed with borderline personality disorder. The nurse would expect which priority nursing diagnosis in the care plan?
A) Self-esteem disturbance, related to unmet dependency needs B) Risk for violence, self-directed, related to self-mutilating behaviors C) Impaired communication, related to social withdrawal D) Impaired social interaction, related to indifference toward others
The nurse is making a list of the members of the rehabilitation team so that the different types of services available to patients may be taught to a group of families. Which of the following lists should be used?
1. Physical therapist, nurse, family members, personal MD 2. Occupational therapist, dietitian, nurse, patient 3. Rehabilitation MD, laboratory technician, patient, and family 4. Vocational rehabilitation specialist, patient, psychiatrist
Which clinical manifestation indicates to the nurse that the client's adrenocortical insuffi-ciency is of primary origin rather than secondary origin?
A. Weight loss B. Red, beefy tongue C. Orthostatic hypotension D. Increased skin pigmentation
The nurse assesses the patient's intravenous (IV) site. Which clinical indicator does the nurse recognize as being most consistent with phlebitis?
a. An elevated heart rate b. Decreased skin temperature c. Erythema along the vein line d. Edema around the insertion site