A patient is admitted through the emergency department with suspected St. Louis encephalitis. The nurse caring for the patient knows that a unique clinical feature of St. Louis encephalitis is what?
A) Only attacks people under the age of 20
B) Adrenal crisis
C) SIADH with hyponatremia
D) Diabetes insipidus with hypernatremia
Ans: C
Feedback: A unique clinical feature of St. Louis encephalitis is SIADH with hyponatremia.
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A woman is diagnosed with a cystocele. She states she is relieved the condition is only the result of weakening of the structures that support her uterus. What response by the nurse is indicated?
1. "I am glad you have been able to receive some background information about your condition." 2. "A cystocele is actually the result of the rectum pushing forward into the vagina." 3. "The cystocele has occurred because the bladder is pressing downward on the vagina." 4. "This condition is actually caused by a weakening of the uterus itself."
After having a craniectomy and left anterior fossae incision, a 64-year-old patient has a nursing diagnosis of impaired physical mobility related to decreased level of consciousness and weak-ness. An appropriate nursing intervention is to
a. cluster nursing activities to allow longer rest periods. b. turn and reposition the patient side to side every 2 hours. c. position the bed flat and log roll to reposi-tion the patient. d. perform range-of-motion (ROM) exercises every 4 hours.
The mother of a 7-year-old child says to the nurse, "My child is distractible in school, cannot complete assignments on time, and interrupts other children while they are speaking. What do you think?" What is the best response by the nurse?
1. "This sounds like your child is depressed; depression looks different in children and is very serious." 2. "This sounds like bipolar disorder; you might want to have your child tested by a child psychiatrist." 3. "This could be attention-deficit hyperactivity disorder (ADHD); you might want to have your child tested." 4. "This sounds like typical 7-year-old behaviors to me; if they do not resolve, have your child tested."
A client complains of foot pain while ambulating in his shoes. The nurse assesses the client's feet and determines they are flat. The nurse should
A) Call the client's physician and report the pain B) Inform the client to walk barefoot while in the home C) Instruct the client to have his feet measured to determine size D) Instruct the client to make an appointment with a podiatrist