In a patient with trauma-induced central diabetes insipidus, what urine specific gravity result does the nurse expect?
A) Specific gravity 1.001 to 1.010
B) Specific gravity 1.011 to 1.024
C) Specific gravity 1.025 to 1.030
D) Specific gravity varies diurnally
A
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The nurse is interviewing a patient who claims to be in the middle of a crisis situation. The nurse should: (Select all that apply.)
a. determine the patient's view of the situa-tion. b. be aware that denial is never a coping mechanism for people in crisis. c. point out that the patient is repeating in-formation and ask him to stop. d. assess for the potential for sui-cide/homicide. e. assess coping mechanisms and support systems.
A patient who is a Jehovah's Witness refuses life-saving blood or blood products and will probably die without them. What nursing intervention is the best?
a. Try to argue with the patient about his beliefs. b. Separate the patient from family, visitors, or religious leaders who support the patient's beliefs. c. Lecture the patient about the fact that these beliefs may be harmful to self and may result in death. d. Show respect for the patient's right to his own belief system. Notify the nursing supervisor and possibly obtain an ethics committee consultation.
While providing care in an obstetric setting, the nurse should understand that postpartum care of the woman with cardiac disease
a. Is the same as that for any pregnant woman b. Includes rest, stool softeners, and monitoring of the effect of activity c. Includes ambulating frequently alternating with active range of motion d. Includes limiting visits with the infant to once per day
A 92-year-old patient is scheduled for a colectomy. Which of the following physiological changes accompanies the aging process and increases this patient's risk for surgery?
a. An increased tactile sensation b. An increased metabolic rate c. A relaxation of arterial walls d. Reduced glomerular filtration