The nurse is caring for a patient with lung cancer who develops syndrome of inappropriate antidiuretic hormone (SIADH) secretion. Which assessment findings should the nurse expect?
a. Fatigue and weakness
b. Poor skin turgor and polyuria
c. Weight gain and concentrated urine
d. Truncal obesity and thin extremities
ANS: C
Excess antidiuretic hormone (ADH) causes water retention, with weight gain and concentrated urine. B. Poor skin turgor and polyuria are associated with diabetes insipidus, not SIADH. D. Truncal obesity and thin extremities are signs of Cushing's syndrome. A. Fatigue and weakness are nonspecific.
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Which of the following is one of the elements used in the acronym SBARR?
a. Scenario c. Awareness b. Background d. Resolution
An adult with paranoid schizophrenia is hospitalized. This patient has frequent auditory hallucinations and walks about the unit, muttering. To use psychotherapeutic management effectively, it is most important for the nurse to
a. understand the disease process of schizophrenia. b. minimize contact between this patient and other patients. c. administer PRN medication before interacting with the patient. d. use behavior modification to decrease the frequency of hallucinations.
Stage 3 of Meaningful Use includes which of the following
a. Instituting computerized provider order entry, b. Providing education resources identified by CERHT to patients, c. Using computerized provider order entry for a majority of medication orders d. All of the above
Identify the outcome that best demonstrates a critical care nurse's successful application of the ethical principle of nonmaleficence to the care of a client who has experienced a cerebrovascular accident (CVA)
a. The client is aware of his or her diagnosis despite attempts of the family to withhold that information. b. The client is beginning to be able to use simple words to express his or her needs. c. The family has been taught the necessary skills to care for the client at home with the supervision of a home health-care nurse. d. There is no evidence of skin breakdown on bony pressure points, and the client's shoulder and hip on the affected side re-main intact.