A client's endocrine system is being evaluated for dysfunction as the possible origin of his current symptomology
When it is learned that the results of the water deprivation test showed no changes in urine osmolality, the nurse realizes that this finding is consistent with: 1. An absence of endocrine pathology.
2. Diabetes insipidus.
3. Diabetes mellitus.
4. Syndrome of inappropriate antidiuretic hormone.
An absence of endocrine pathology.
Rationale: In clients without pathology, there is no change in urine and plasma osmolality. Diabetes insipidus and syndrome of inappropriate antidiuretic hormone would result in changes in urine osmolality. Water deprivation testing is not used to detect diabetes mellitus.
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What is the most appropriate intervention for this diagnosis? A) Elevate his legs and arms above his heart when resting. B) Encourage the patient to engage in a moderate amount of exercise. C) Encourage long periods of sitting or standing. D) Discourage walking to decrease pain.
As part of performance appraisal, the nurse manager designs strategies to acknowledge staff members. What practices by the nurse manager best acknowledge staff accountability and con-tribution?
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Placing the base of a vibrating tuning fork on the midline vertex of the patient's head is a test for:
a. air conduction of sound. b. bone versus air conduction. c. lateralization of sound. d. mallear auditory ability.
The client is a male who states his wife complains that his snoring awakens her at night. The spouse is present. To obtain further data, the nurse asks the spouse what?
A) "How loud is his snoring?" B) "Is there silence after snoring which then is followed with a snort?" C) "How long does he snore each night?" D) "How often are you awakened at night due to his loud snoring?"