A nurse is caring for a client with a diagnosis of nephrogenic diabetes insipidus. Which statement will the nurse include when teaching the client about the condition?
A) "You have a condition resulting from renal channelopathy."
B) "You have an inflammatory condition affecting calcium transport in airway smooth muscle cells."
C) "Your condition is the result of a defect in the chloride channel, resulting in increased sodium and water resorption."
D) "Your condition is the result of acquired channelopathy caused by the immune system."
A) "You have a condition resulting from renal channelopathy."
Explanation: A) Nephrogenic diabetes insipidus is a condition resulting from renal channelopathy, which results in decreased responsiveness to antidiuretic hormone.
B) Asthma is a condition involving airway inflammation and the involvement of calcium transport in airway smooth muscle cells.
C) Cystic fibrosis is a result of a defect in the chloride channel, resulting in increased sodium and water resorption.
D) Myasthenia gravis is an example of acquired channelopathy caused by the immune destruction of ion channels responding to the neurotransmitter acetylcholine.
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Normally, most people sleep at night. What is the physiological rationale?
a. The master biological clock responds to darkness with sleep. b. Darkness stimulates histamine release, which promotes sleep. c. Cooler environmental temperatures stimulate retinal messages. d. Stimulation of the sympathetic nervous system promotes sleep.
A nurse working in a neonatal intensive care unit is being sued. An expert witness is called. The expert witness would be:
a. a physician who specializes in neonatology. b. the chief of nursing in the hospital. c. a neonatal intensive care nurse. d. a faculty member in a university school of nursing.
If WHO, the World Health Organization, defines health as "a state of complete physical, mental and social well-being and not merely the absence of disease and infirmity" (WHO, 2011) and wellness is described as a state of being,
a. What is the relationship of wellness and health in a person's life? b. How do illness and disease relate to one another? c. Do you think an individual can have an illness or disease and still be healthy or well? Why or why not? d. How does chronic illness in an individual's life affect wellness or being healthy or unhealthy?
Using the concept of the wellness–illness continuum, a nursing care plan for a chronically ill patient would outline steps to:
a. Educate the patient about every possible complication associated with the specific illness b. Encourage positive health characteristics within the limits of the specific illness c. Limit all activities because of the progressive deterioration associated with all chronic illnesses d. Recommend activity beyond the scope of tolerance to prevent early deterioration