The nurse is reviewing the laboratory studies of a client, and notes a serum sodium value of 168 mEq/L. Expected clinical manifestations of this value would include:

1. Oliguria and fever.
2. Constipation and decreased blood pressure.
3. Muscle tremor and arrhythmias.
4. Dizziness and confusion.


1
Rationale: Oliguria; fever; thirst; flushed skin; and dry, sticky mucous membranes are common manifestations of hypernatremia.

Nursing

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The use of which drug or class of agents has not been clinically proven to decrease mortality from acute myocardial infarction?

a. Beta blockers b. Calcium channel blockers c. ACE inhibitors d. Aspirin

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The Intervention Wheel model encompasses three levels of practice. They are:

1. Communities, individuals and families, and systems 2. Coalition, collaboration, and case management 3. Education, advocacy, and policy making 4. Idealism, justice, and power

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Segregation is an example of

a. Prejudice b. Cultural imposition c. Racism d. Stereotyping

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The nurse is preparing to assess the blood pressure of a 3-year-old. How should the nurse proceed?

a. Use the diaphragm portion of the stethoscope to detect Korotkoff sounds. b. Obtain the reading before the child has a chance to "settle down." c. Choose the cuff that says "Child" instead of "Infant." d. Explain the procedure to the child.

Nursing