The nurse is collecting data for a patient who has suspected kidney disease. What health problems should the nurse consider as being associated with a high urine specific gravity? (Select all that apply.)
a. Nephrosis
b. Dehydration
c. Heart failure
d. Diabetes mellitus
e. Diabetes insipidus
f. Fluid volume excess
ANS: A, B, C, D
A high specific gravity may occur from diabetes mellitus and high sugar concentrations in the urine, nephrosis, congestive heart failure, and dehydration. E. F. Specific gravity measurements are most likely lower in diabetes insipidus and fluid volume excess.
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The UAP notifies the nurse of these vital signs for a client on the medical-surgical unit: temperature 97.6°F, respirations 22, pulse 122, and BP 98/72. Which is the best action the nurse should do next?
A. Ask the UAP to reassess the client. B. Inform the UAP to document these vital signs. C. Reassess the client to validate these vital signs. D. Notify the healthcare provider of these vital signs.
Which conditions is the use of thrombolytic therapy contraindicated in? Select all that apply.
A. Venous emboli B. History of intracranial hemorrhage C. Hemophilia D. Liver disease E. Peptic ulcer disease
The prevalence rate over a 12-month period for major depressive disorder is
a. lower than the prevalence rate for panic disorders. b. greater than the prevalence rate for psychotic disorders. c. equal to the prevalence rate for psychotic disorders. d. greater than the prevalence rate for generalized anxiety.
Which of the following drugs is rarely prescribed because of the high incidence of adverse effects?
A. Lamotrigine B. Trimethadione C. Diazepam D. Valproic acid