A patient is brought to the hospital with a stab wound after a fight at a local bar. His alcohol level is twice the normal limit. The nurse would expect his serum osmolality to be
a. elevated. c. unaffected.
b. decreased. d. equal to his sodium level.
A
The release of antidiuretic hormone (ADH) increases with hypovolemia. Primarily, the plasma osmotic pressure and the volume of circulating blood regulate the release of ADH. Stretch receptors located in the left atrium are sensitive to volume changes in the plasma that may be caused by vomiting, diarrhea, or blood loss. Hemorrhage that is sufficient to lower the blood pressure or emesis that is sufficient to reduce fluid volume stimulates the release of ADH. Other factors capable of influencing ADH secretion are pain, stress, malignant disease, surgical intervention, alcohol, and some medications.
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Accurate, complete, and appropriate nursing entries in a client chart include: Standard Text: Select all that apply
1. (date) 0200 Mrs. Smith appears to be sleeping.------S. Smith, LPN 2. (date) 0200 Client resting in bed with eyes closed.------S. Smith, LPN 3. (date) 0800 Client angry at husband for spending too much money. -------S. Smith, LPN 4. (date) 0900 Client refused 0400 dose of Amoxacillin.-------S. Smith, LPN 5. (date) 0700 Client smiling, talking on telephone. -----S. Smith, LPN
A woman in her second trimester of pregnancy presents to the perinatal clinic with complaints of scant vaginal bleeding, abdominal pain, and shoulder pain. What action should the nurse perform first?
A. Assess her for a history of preterm labor. B. Obtain a blood sample for a ?-hCG test. C. Prepare the woman for a pelvic exam. D. Request an order for methotrexate (Rheumatrex).
If nonsurgical treatment for subinvolution is ineffective, which surgical procedure is ap-propriate to correct the cause of this condition?
a. Hysterectomy b. Laparoscopy c. Laparotomy d. D&C
To address the nursing diagnosis Risk for impaired skin integrity related to dry skin, in the patient with hypothyroidism, the nurse would:
1. increase the frequency of bathing to get rid of the old and dry skin. 2. apply lotions and creams to help maintain moisture, and elevate lower extremities when sitting or lying. 3. increase her activities in order to increase her circulation to her skin. 4. take antihistamines to prevent itching.