The electrolyte imbalance called hyponatremia exhibits which clinical manifestations?
a. Headache
b. Seizures
c. Paranoia
d. Confusion
e. Lethargy
Answer:
a. Headache
b. Seizures
d. Confusion
e. Lethargy
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The nurse is sharing client assessment data with the multidisciplinary health care team. Which comment by the nurse is irrelevant and indicates a misunderstanding of the concept of a mental disorder?
1. "The client reports significant emotional distress about the current situation." 2. "The client reports a loss of interest in usual pleasurable activities and commitments." 3. "The client denies thoughts of harming self or others." 4. "The client has some very inappropriate religious ideas and spiritual beliefs."
A client tells the nurse about experiencing symptoms of a hypoglycemic insulin reaction. Which action should the nurse take FIRST?
a. Assess the blood glucose level, and administer glucose in the most appropriate form. b. Call the health care provider. c. Give the client juice or hard candy immediately. d. Have the client lie down and see if symptoms subside.
A nurse is planning care for a child with human immunodeficiency virus (HIV). The highest-priority nursing problem for this child is:
1. Risk for infection. 2. Risk for fluid volume deficit. 3. Ineffective thermoregulation. 4. Ineffective tissue perfusion, peripheral.
The nurse is caring for a child in Bryant skin traction. An appropriate nursing intervention for this child would be to
1. remove the adhesive traction strapsdaily to prevent skin breakdown. 2. check the traction frequently toensure that proper alignment is maintained. 3. place the child in a prone position tomaintain good alignment. 4. move the child as infrequently aspossible to maintain traction.