The nurse knows that the best test to differentiate between central and nephrogenic DI is
a. the water deprivation test.
b. serum osmolality.
c. computed tomography scan.
d. the ADH test.
D
The antidiuretic hormone test is used to differentiate between neurogenic diabetes insipidus (DI) (central) and nephrogenic (kidney) DI. In severe central DI, in which the pituitary is affected, the urine osmolality shows a significant increase (becomes more concentrated), which indicates that the cell receptor sites on the kidney tubules are responsive to vasopressin. Test results in which urine osmolality remains unchanged indicate nephrogenic DI, suggesting kidney dysfunction because the kidneys are no longer responsive to ADH.
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A nurse is planning the care for an older adult patient. Which age-related changes in kidney function should the nurse consider when providing care to this patient? (Select all that apply.)
a. Thinning of nephron membranes b. Sclerosis of renal blood vessels c. Decreasing glomerular filtrations d. Decreasing ability to concentrate or dilute urine e. Decreasing erythropoietin
A nurse works in a hospital that utilizes a charting by exception documentation system
When documenting care and assessments using the charting by exception system, the nurse may not address all of the sections on a client's flow sheet, especially if the client did not require this particular care. In order for the nurse to identify that these areas were addressed, but no care was needed, the best action is to: 1. Leave them blank. 2. Leave them blank, but then add an extensive explanation in the progress notes section of the chart. 3. Write N/A on the flow sheet in the areas that are not applicable to that client. 4. Make sure this information gets passed along in the shift report.
When the nurse cleanses the client's leg during a bed bath, it will allow for:
A) assessment of pain. B) increased circulation. C) decreased restless leg syndrome. D) promotion of social interaction.
A 47-year-old man with no confusion, BUN = 17 mg/dL, respiratory rate = 32/min; and blood pressure = 110/72 mm Hg. Based on the CURB-65 criteria, indicate whether the patient should be treated as an inpatient or outpatient.
A. Inpatient B. Outpatient