A priority nursing diagnosis for a patient receiving desmopressin would be:
a. risk for injury.
b. alteration in comfort.
c. risk for fluid volume imbalance.
d. deficient knowledge.
c
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A contrast medium study is being scheduled. Which statement by the patient during the assessment warrants further investigation by the nurse?
a. "I'm allergic to shellfish.". b. "I have small veins in my left arm.". c. "I'm really worried about the test results.". d. "I need to urinate in the middle of the night.".
The nurse discovers smoke in the second floor utility room. Which should the nurse implement first?
1. Find the fire extinguisher and try to extinguish the fire. 2. Evacuate the entire second floor to the first floor lobby. 3. Rescue any clients, visitors, or staff in immediate danger. 4. Pull the nearest alarm box and call the telephone operator.
The nurse is assessing a client diagnosed with acute leukemia. Which assessment data support this diagnosis?
1. Fever and infections 2. N+V 3. Excessive energy and high platelet counts 4. Cervical lymph node enlargement and positive acid-fast bacillus
A patient has had a repair of an AAA. For what reason is this patient being monitored postoperatively for urinary output and renal function studies (creatinine and BUN)?
a. The patient was probably in shock preoperatively, and there may be glomerular damage. b. The patient is usually in a critical care nursing unit where this is done routinely. c. The aorta was clamped during the surgery and the kidneys may have been inadvertently damaged. d. Repair of the aneurysm improves renal perfusion and the urinary output should increase.