The next morning, T.A. goes for his first dialysis treatment. Shortly after his return, T.A. complains of head
ache and severe nausea. He is restless and slightly confused, and he has an elevated blood pressure.
What is the significance of these findings?
Dialysis disequilibrium syndrome often occurs after the first or second dialysis treatment or
in patients who have had sudden, large decreases in BUN and creatinine levels because of the
hemodialysis. The rapid removal of urea from the blood leaves a higher concentration of solutes in
the brain and the cerebrospinal fluid (CSF). The solutes increase the osmotic pressure, which draws
fluid from the bloodstream into the CSF and brain tissue. The extra fluid in the brain tissue creates a
state of cerebral edema for the patient, which results in severe headaches, hypertension, nausea and
vomiting, twitching, mental confusion, lethargy, restlessness, and occasionally seizures.
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Which one of the two intrapersonal theorists developed a theory of personality development that emphasizes sexuality as the underlying motivation for behavior?
a. Freud c. Erikson b. Havighurst d. Sullivan
The patient is admitted with injuries that were sustained in a fall
During the nurse's first assessment upon admission, the findings are: blood pressure 90/60 (as compared to 136/66 in the emergency department), flaccid paralysis on the right side, absent bowel sounds, zero urine output, and palpation of a distended bladder. These signs are most consistent with which condition? 1. Paraplegia 2. Neurogenic shock 3. High cervical injury 4. Temporary hypovolemia
Which of the following is most similar in action to oxymetazoline hydrochloride (Afrin)?
a. pseudoephedrine HCl c. phenylephrine HCl b. dexchlorpheniramine d. diphenhydramine HCl
The mother of a young teen brings the child to the emergency department for treatment of cellulitis that occurred after the child picked scabs from healing pimples
The mother is scolding the child for eating too many oily foods that caused the cellulitis. The nurse plans teaching which of the following to this family? 1. Consumption of oily foods poses an increased risk for cellulitis. 2. Foods such as chocolate and potato chips do not cause pimples or cellulitis. 3. Antibiotics are the best way to prevent cellulitis. 4. Popping the pimples spreads the germs over the face.