The diagnosis of SIADH is made when which of the following conditions is present?
a. Decreased ADH level and hyperkalemia
b. Decreased ADH level and hypernatremia
c. Increased ADH level and serum ketones
d. Increased ADH level and low serum osmolality
D
SIADH occurs when there are increased levels of ADH in the blood compared with a low serum osmolality.
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A nurse manager finds it challenging to communicate among staff. The manager?s director informs the manager this is due to:
1. Nursing shortage. 2. Varied client mix. 3. Combined staffing patterns. 4. An overlap of staff between shifts.
Major hallmarks of the ebb phase of stress are
a. hypothermia and lethargy. b. nausea, vomiting, and diarrhea. c. increased catabolism of macronutrients. d. hyperthermia and increased nitrogen ex-cretion.
An older adult patient is to receive atenolol, a beta-adrenergic blocking agent. Prior to administration of the drug, the nurse assesses an apical pulse rate of 58 and notes ankle edema. Which action will the nurse take first?
a. Determine the therapeutic blood level. b. Encourage the patient to decrease water intake. c. Elevate the patient's legs. d. Withhold the medication.
What are the three most important prognostic factors in determining long-term survival for children with acute leukemia?
a. Histologic type of disease, initial platelet count, and type of treatment b. Type of treatment and client's sex c. Histologic type of disease, initial WBC count, and client's age at diagnosis d. Progression of illness, WBC at the time of diagnosis, and client's age at the time of diagnosis.