A patient is admitted with a long history of mental illness. Her husband states she has been drinking up to 10 gallons of water each day for the past 2 days and refuses to eat. The patient is severely dehydrated and soaked with urine
The nurse suspects a. central diabetes insipidus (DI). c. psychogenic (dipsogenic) DI.
b. nephrogenic DI. d. iatrogenic DI.
C
Psychogenic diabetes insipidus (DI) is a rare form of the disease that occurs with compulsive drinking of more than 5 L of water a day. Long-standing psychogenic DI closely mimics nephrogenic DI because the kidney tubules become less responsive to antidiuretic hormone as a result of prolonged conditioning to hypotonic urine.
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Two nurses are contrasting the major differences between physostigmine (Antilirium) and neostigmine (Prostigmin). One nurse correctly states that physostigmine (Antilirium)
a. is not as effective for treating poisoning by muscarinic-blocking drugs. b. can readily cross the blood-brain barrier. c. does not cause any side effects. d. cannot reverse the effects of neuromuscular blockers.
A client has been given instructions on collection of a sputum specimen for analysis of mycobacterium tuberculosis. Which statement by the client indicates he understands the directions?
A) "I will need to take a sedative before the secretions are suctioned." B) "They will need to collect three specimens." C) "It is best to collect a specimen after drinking warm liquids." D) "I will need to drink a radioactive dye before coughing up secretions."
The nurse uses touch to comfort clients who are in pain. Which of the following should the nurse be aware of when using this technique?
A) Touch is an effective, welcome nursing intervention in all cultures. B) The use of touch is appropriate in most cultures. C) The use of touch varies greatly upon culture. D) Touch is an expected nursing intervention regardless of culture.
Who solves technical challenges?
a. Employees b. Leaders and followers c. Leaders d. The organization