A patient with an acute brain injury is receiving IV mannitol, an osmotic diuretic. If this medication is effective, what does the nurse expect?
A) Increased cerebral perfusion pressure
B) Increased serum osmolarity above 320 mOsm
C) Reduction of Glasgow Coma Scale values
D) Development of fixed and dilated pupils
A
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Which of the following rationales by a nurse explain to parents why is it difficult to diagnose a child or adolescent exhibiting symptoms of bipolar disorder? (Select all that apply.)
1. Bipolar symptoms mimic attention deficit-hyperactivity disorder symptoms. 2. Children are naturally active, energetic, and spontaneous. 3. Neurotransmitter levels vary considerably in accordance with age. 4. The diagnosis of bipolar disorder cannot be assigned prior to the age of 18. 5. Genetic predisposition is not a reliable diagnostic determinant. Nursing Process: Assessment Client Need: Psychological Integrity
A new nurse is doing her first admission assessment and is anxious about asking a patient who is considerably older than her for his sexual history
Which statement(s) or action(s) would be appropriate for increasing the patient's and/or nurse's comfort level(s)? Select all that apply. a. Tell a sexually themed (but not offensive) joke to break the tension. b. Use an informal, social communication style akin to the patient's. c. Explain the reason you are seeking the information before asking for it. d. Ask a male colleague to complete the sexual portion of the assessment. e. Address the topic in a tone and manner appropriate for a professional. f. Acknowledge that the topic might be an uncomfortable one to address.
A patient taking chloramphenicol had blood drawn to check the trough drug level. The level was reported as 15 mcg/ml. The next dose is now due. The nurse should:
a. administer the drug as scheduled. b. assess the patient's urinary output over the past 12 hours. c. withhold the drug and notify the physician. d. contact the physician to increase the dose.
The nurse understands that these receptors are believed to control neurotransmitter release at the presynaptic neuron in the autonomic nervous system:
a. beta-2. c. alpha-2. b. beta-1. d. alpha-1.