You are caring for a patient with a diagnosis of syndrome of inappropriate antidiuretic hormone secretion. Your patient has specific gravities ordered every 4 hours. What does this test detect?
A) Nutritional deficit
B) Hyperkalemia
C) Hypercalcemia
D) Fluid volume status
Ans: D
Feedback: A specific gravity will detect if the patient has a fluid volume deficit or fluid volume excess. This will not detect hyperkalemia, hypercalcemia, or nutritional deficits.
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A patient, with a history of aspiration pneumonia, is going to receive enteral feedings. What nursing interventions should be implemented?
1. Add a bit of food coloring to the bag of enteral feeding to help assess for aspiration. 2. Use a chlorhexidine mouth rinse during oral care. 3. Position the head of the patient's bed at 30 degrees. 4. Avoid suctioning the patient while feedings are in progress.
A nurse is grading the strength of evidence when critiquing a research study. Which of the fol-lowing domains will the nurse need to consider?
a. Randomness, sample size, and blinding b. Selection, variables, and description c. Nursing, medicine, and physiology d. Quality, quantity, and consistency
When teaching about child abuse, nurses explain that assault is defined as:
A) Actual harm or threats of harm to another person B) A legal term for wrongful harm to another person's property C) A legal term for rape D) Physical force against another person without justification
As you perform a suicide assessment on your patient, you learn that the patient has only one person to call in times of need, has been thinking about suicide frequently in past weeks, and has attempted suicide once before
You believe this patient's suicide risk is: A) Low B) Moderate C) Guarded D) Imminent