A client has small cell lung cancer. Which laboratory result requires immediate intervention by the nurse?
a. Serum potassium of 5.1 mEq/L
b. Serum sodium of 118 mEq/L
c. Hematocrit of 45%
d. Blood urea nitrogen (BUN) of 10 mg/dL
B
In the syndrome of inappropriate antidiuretic hormone hypersecretion (SIADH), secretion of an-tidiuretic hormone (ADH) from the posterior pituitary gland is increased, causing the client to reabsorb water from the distal convoluted tubule and collecting duct. As a result, weight increas-es, and serum sodium and hematocrit levels are diluted. Blood urea nitrogen (BUN) and hemato-crit are normal. Potassium is slightly high, but very low sodium places the client at risk for sei-zures and even death.
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The patient tells the nurse, "I'll never be happy until I'm as successful as my older sister.". The nurse asks the patient to reassess this statement and reframe it. Which reframed statement is most likely to promote coping?
a. "I won't be happy until I make as much money as my sister.". b. "People should treat me as well as they treat my sister.". c. "I can find contentment in succeeding at my own job level.". d. "Being as smart or clever as my sister isn't really important.".
From where does the state's power to license nurses derive?
1. Police power within the state 2. Constitution of the United States 3. Nurse practice act 4. State and federal case laws
The male hormone is:
a. Testosterone b. Estrogen c. Progesterone d. Vas deferens
In the process of developing an assessment tool the TRS observes and rates a client. Then another TRS observes and rates the client on the same functional behaviors. The ratings are then compared, with nearly perfect coefficient. What characteristic of an instrument is being determined?
A. Validity B. Reliability C. Usability D. Practicality