A patient diagnosed with a traumatic brain injury is receiving mannitol. The nurse would collaborate with the prescriber regarding discontinuation of therapy if which finding occurs?
1. Intracranial pressure (ICP) decreases.
2. Serum sodium is 148 mEq/L.
3. Serum osmolality is 300 mOsm.
4. Osmotic gap is 12.
Answer: 4
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Which of the following is NOT a reason for the decrease in psychiatric inpatient admissions?
1. community perception 2. consumer protection laws 3. cost 4. new treatments and techniques
What disorder of the adnexa is most likely the diagnosis?
A 23-year-old waitress comes to your clinic complaining of severe pelvic pain radiating to her right side. The pain began yesterday and is getting much worse. She has had no burning with urination and denies any recent sexual activity. She has no nausea, vomiting, constipation, diarrhea, fever, or vaginal discharge. Her last period was 3 to 4 weeks ago. Her past medical history consists of severe acne, depression, and mild obesity. She has had no surgeries. She broke up with her boyfriend 6 months ago and denies dating anyone else. She smokes one pack of cigarettes a day, drinks three to four beers two to three times a week, and denies any illegal drug use. Her mother is diabetic and her father has coronary artery disease. On examination you see a mildly obese female in moderate distress. Her blood pressure is 130/80 and her pulse is 90. She is afebrile. On auscultation she has active bowel sounds. She has no rebound or guarding in any abdominal quadrant. Speculum examination shows no lesions on the cervix and no discharge or bleeding from the os. During the bimanual examination she has no cervical motion tenderness, but her right adnexal area is swollen and tender. A urine analysis is normal and the urine pregnancy test is pending. A) Ovarian cyst B) Tubal pregnancy C) Pelvic inflammatory disease
The nurse is preparing to provide a morning bath to a client diagnosed with dementia. What can the nurse do to ensure a positive bathing experience for the client?
1. Move slowly. 2. Be flexible. 3. Help the client feel in control. 4. Avoid stopping once the bath is started. 5. Be prepared.
The nurse is caring for a hospitalized patient who has had a stroke and is waiting to be transferred to a rehabilitation facility. What nursing action can best maximize the patient's rehabilitation potential while awaiting the transfer?
a. Teach the patient what to expect at the rehabilitation facility. b. Keep the patient on bedrest to conserve energy for rehabilitation. c. Call the physical therapist for bedside rehabilitation until the transfer. d. Turn the patient every 2 hours to prevent pressure ulcers and contractures.