A patient has developed diabetes insipidus after suffering severe head trauma. What symptoms does the nurse expect to find?
A) Urine output less than 30 mL/hr
B) Urine specific gravity 1.001 to 1.005
C) Serum osmolality below 275 mOsm/kg
D) Serum sodium less than 135 mEq/L
B
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The nurse needs to assess a patient's ability to perform activities of daily living (ADLs) and should choose which tool for this assessment?
a. Direct Assessment of Functional Abilities (DAFA) b. Lawton Instrumental Activities of Daily Living (IADL) scale c. Barthel Index d. Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire-IADL (OMFAQ-IADL)
In developing a plan of care for a client who has ruptured membranes for 24 hours, the nurse recognizes that it is essential to consider her increased risk of
a. hemorrhage c. supine hypotension b. precipitous labor d. chorioamnionitis
A prosthesis is:
a. An artificial replacement for a missing body part b. A chronic illness or disease c. Any lost, absent, or impaired physical or mental function d. A temporary state of impairment
The nurse is working very hard to prevent medication errors. What plan(s) will assist the nurse in preventing most errors?
1. Plan to always check the patient's identification band prior to administration of medications. 2. Plan to open all of the medications immediately prior to administration. 3. Plan to tell physicians that verbal orders will not be accepted. 4. Plan to record the medication on the medication administration record (MAR) immediately prior to administration. 5. Plan to validate all orders with another nurse prior to administration of medications.