The client has a serum sodium level of 149 mEq/L. Which condition or manifestation indicates that the client's hypernatremia is relative rather than actual?
A. The client has twitching muscle contractions in the lower extremities.
B. The client's skin is cool and clammy.
C. The urine specific gravity is increased.
D. The hematocrit is 52%.
D
A relative hypernatremia can occur as a result of dehydration with no or minimal sodium loss. Such dehydration is usually accompanied by hemoconcentration. The higher than normal hema-tocrit suggests hemoconcentration.
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A patient is admitted to the critical care unit with a subdural hematom
a. The GCS is used to assess his level of consciousness. Which statement is true concerning the GCS? a. It provides data about level of consciousness only. b. It is considered equivalent to a complete neurologic examination. c. It is a sensitive tool for evaluation of an altered sensorium. d. It is the most critical assessment parameter to account for possible aphasia.
You have an order to administer a medication according to the client's weight in kilograms (kg). The client's weight this morning was 154 pounds (lb). You would calculate the medication dosage after determining that this client weighs _____ kg
1. 70 2. 76 3. 80 4. 85
A patient arrives in the emergency department with complaints of pain, cramping, and weakness of the calf muscles while walking. The nurse would be correct to suspect ___________ and anticipate the administration of ___________
a. thrombophlebitis; heparin b. tendonitis; cephalosporins c. intermittent claudication; cilostazol (Pletal) d. deep vein thrombosis; streptokinase (Streptase)
Mealtime is a break in the boring hospital or facility routine
True False