A tumor of the pituitary has caused the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). Which interventions should the nurse plan? (select all that apply.)
a. Assist with activities of daily living.
b. Record accurate urine.
c. Weigh the patient daily.
d. Assess for changes in level of conscious-ness.
e. Assess stools for occult blood.
A, B, C, D
The nurse should assist with activities of daily living because of weakness, record accurate urine output because of oliguria, weigh the patient daily to assess fluid volume status, and assess for changes in level of consciousness. There is no overt threat of a GI bleed with SIADH, so assess-ing stools for occult blood is not indicated.
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During the newborn examination, the nurse assesses the infant for signs of developmental dysplasia of the hip. A finding that would strongly indicate this disorder would be:
1. Soles are flat with prominent fat pads. 2. Positive Babinski's reflex. 3. Metatarsus varus. 4. Asymmetric thigh and gluteal folds.
Which of the following is (are) official journal(s) of the American Association of Critical-Care Nurses? (Select all that apply.)
a. American Journal of Critical Care b. Critical Care Clinics of North America c. Critical Care Nurse d. Critical Care Nursing Quarterly
Which of the following commonly used English words would the patient with presbycusis be least likely to hear accurately?
A) Church B) Dinner C) Reach D) Market
A client wants to use the vaginal sponge as a method of contraception. Which of the following statements indicate that she will need further instruction? "I need to: (Select all that apply.)
A. Use a lubricant prior to insertion." B. Add spermicidal cream prior to intercourse." C. Moisten it with water prior to use." D. Leave it in no longer than six hours." E. Use the sponge on my most fertile days."