A patient with bronchogenic oat cell carcinoma has a drop in urine output. The laboratory reports a serum sodium level of 120 mEq/L, a serum osmolality level of 220 mOsm/kg, and urine specific gravity of 1.035 . The nurse would suspect
a. diuresis. c. SIADH.
b. DI. d. hyperaldosteronism.
C
A decreased urine output, hyponatremia, hypoosmolality, and high urine specific gravity are classic signs of SIADH. Oat cell carcinoma is a precipitating factor for SIADH.
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A pregnant woman comes to the hospital 3 weeks before her estimated date of birth (EDB) complaining of severe pain and a rigid abdomen. The nurse recognizes these as signs and symptoms of:
a. placenta previa. b. appendicitis. c. ectopic pregnancy. d. abruptio placentae.
A patient with arterial insufficiency should be instructed to:
1. frequently allow the legs to dangle dependently. 2. rub the legs vigorously. 3. stand often to keep blood flow in the legs. 4. walk barefoot.
The nurse would prioritize which nursing diagnosis when caring for a patient diagnosed with a spinal cord injury?
1. Fluid Volume Deficit 2. Impaired Physical Mobility 3. Ineffective Breathing Pattern 4. Altered Tissue Perfusion
A client in labor did not attend prenatal classes and is experiencing severe pain. In which breathing technique should the nurse instruct the client to help with relaxation and control? Select all that apply
1. Kussmaul breathing 2. Abdominal breathing 3. Slow-paced breathing 4. Pant–pant–blow breathing 5. Modified-paced breathing