Which laboratory result in a client with cancer who has gained 2 pounds in 1 day suggests the possibility of SIADH?
A. Serum potassium of 5.2 mmol/L
B. Serum sodium of 120 mmol/L
C. Hematocrit of 40%
D. BUN of 10 mg/dL
B
In SIADH, clients reabsorb water from the distal convoluted tubule and collecting duct. As a result, weight increases and the serum sodium levels are diluted.
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A patient who is a candidate for an implantable cardioverter defibrillator (ICD) asks the nurse about the purpose of this device. What would be the nurse's best response?
A) "To detect and treat dysrhythmias such as ventricular fibrillation and ventricular tachycardia" B) "To detect and treat bradycardia, which is an excessively slow heart rate" C) "To detect and treat atrial fibrillation, in which your heart beats too quickly and inefficiently" D) "To shock your heart if you have a heart attack at home"
A nurse established a new parent support group where new parents meet to share problems and solutions. After about 3 months, fewer people were attending. Which of the following actions should the nurse take next?
a. Accept that the new parents may now be comfortable in their role and no longer need a support group b. Bring in outside experts to give presentations on specific infancy development issues c. Change the format of the group meetings to include more time for socialization d. Suggest an ongoing educational program on infant and child development to renew interest in attending the group
A nurse is assisting a physician who is using the sharp debridement technique at the bedside of a client at a health care facility. Sharp debridement accomplishes which of the following?
A) Removes necrotic tissue from healthy area of a wound B) Breaks down and liquefies wound debris C) Allows the body's enzymes to soften and liquefy tissue D) Physically removes debris from a deep wound
A client is brought to the emergency department with severe hypertension, nervousness, tremors, tachycardia, and post-seizure
According to the paramedics, the client was found lying next to an open bottle of amphetamine and dextroamphetamine (Adderall). The client is not coherent, but admits to taking the Adderall. The nurse should prepare to administer which treatments? Standard Text: Select all that apply. 1. Chlorpromazine IV 2. Sodium bicarbonate 3. Flumazenil (Romazicon) IV 4. Gastric lavage 5. Phentolamine IV