The parents of a child with congenital adrenal hyperplasia bring the child to the emergency department for evaluation because the child has had persistent vomiting
Which of the following would lead the nurse to suspect that the child is experiencing an acute adrenal crisis?
A) Hypernatremia
B) Bradycardia
C) Hypertension
D) Hyperkalemia
D
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An adult patient who is currently undergoing rhinoplasty has developed the characteristic signs and symptoms of malignant hyperthermia. The operating room nurse should anticipate what intervention?
A) Hemodialysis B) Tracheal intubation C) IV administration of naloxone (Narcan) D) IV administration of dantrolene sodium (Dantrium)
A woman calls the health care facility stating that she is in labor. The nurse would advise the client to come to the facility if the client reports which of the following?
A) Increased energy level with alternating strong and weak contractions B) Moderately strong contractions every 4 minutes, lasting about 1 minute C) Contractions noted in the front of abdomen that stop when she walks D) Pink-tinged vaginal secretions and irregular contractions lasting about 30 seconds
During an interview, which client statement should indicate to a nurse a potential diagnosis of schizotypal personality disorder?
1. "I don't have a problem. My family is inflexible, and relatives are out to get me." 2. "I am so excited about working with you. Have you noticed my new nail polish, ‘Ruby Red Roses'?" 3. "I spend all my time tending my bees. I know a whole lot of information about bees." 4. "I am getting a message from the beyond that we have been involved with each other in a previous life."
Which of the following assumptions about family will assist the nurse to plan and deliver meaningful care? Select any that apply
1. The nurse has limited information about family function. 2. Individual family members seldom have only one problem at a time. 3. Disease management may be influenced by family responsibilities. 4. Family members are not able to prioritize activities related to health care.