A patient is suspected of having dilutional hyponatremia. What manifestations of this disorder should the nurse expect to observe in this patient? (Select all that apply.)

a. Nausea
b. Headache
c. Constipation
d. Weak, slow pulse
e. Muscle weakness
f. Elevated blood pressure


ANS: A, B, E, F
Manifestations of dilutional hyponatremia include bounding pulse, elevated blood pressure, muscle weakness, headache, personality changes, nausea, diarrhea, convulsions, and coma. C. D. Constipation and slow weak pulse are not manifestations of this disorder.

Nursing

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The National Patient Safety Goals of The Joint Commission (TJC) are established goals to reduce the risks for injuries to patients and provide a safe environment. Which practice has been instituted as a result of these goals established by TJC?

a. Use of the automatic medication dispenser equipment b. Handwashing to prevent infections c. Provision of patient information to the nurse covering for breaks d. Use of two patient identifiers when providing care or treatments

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When assessing a patient in the first stage of labor, what does the nurse recognize as the most conclusive assessment that uterine contractions are effective?

A) Engagement of fetus B) Dilatation of cervix C) Rupture of amniotic membranes D) Bloody show

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Persons with mental retardation or developmental disabilities are unable to learn.

Answer the following statement true (T) or false (F)

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