A nurse is assessing a client who reports severe headache and a stiff neck. The nurse's assessment reveals positive Kernig's signs. Which of the following actions should the nurse perform first?

Administer Antibiotics

Decrease bright lights

Initiate IV access

Implement droplet precautions

Answer and Explanation

The Correct Answer is D

A. Administering antibiotics is crucial but not the immediate first action.
B. Decreasing bright lights can help with comfort but is not the first priority.
C. Initiating IV access is important for medication administration but not the first action.
D. Implementing droplet precautions is the first action to prevent the spread of potentially contagious bacterial meningitis until the causative organism is identified.

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Correct Answer is C

Explanation

A. Muscle hypertrophy is not associated with hypercortisolism; muscle wasting is more common.
B. A butterfly rash on the face is indicative of lupus, not hypercortisolism.
C. Moon face, or the round, puffy face, is a common manifestation of hypercortisolism (Cushing's syndrome).
D. A positive Chvostek's sign indicates hypocalcemia, not hypercortisolism.

A. Administer desmopressin acetate 0.2 mg orally. B. Restrict fluid intake to 1, 000 mL per day. C. Maintain an IV of 0.45% sodium chloride. D. Provide a diet containing 2 g of sodium per day.

Correct Answer is B

Explanation

A. Desmopressin is used to treat diabetes insipidus, not SIADH.
B. Fluid restriction is a primary treatment to manage low sodium levels in SIADH.
C. 0.45% sodium chloride is hypotonic and not typically used in SIADH treatment.
D. Increasing dietary sodium alone is not sufficient; fluid restriction is more critical

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A nurse is assessing a client who reports severe headache and a stiff neck. The nurse's assessment reveals positive Kernig's signs. Which of the following actions should the nurse perform first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing four clients on a medical unit. The nurse should identify which of the following clients as exhibiting positive manifestations of hypercortisolism?

Correct Answer is C

Explanation

A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. Which of the following prescriptions should the nurse anticipate?

Correct Answer is B

Explanation

A nurse is providing care for a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following physiological alterations is consistent with a diagnosis of SIADH?

A nurse is preparing to provide care for a client in the emergency department who has syndrome of Inappropriate antidiuretic hormone (SIADH). The client has a serum sodium of 115 mEq/L (136-145 mEq/L). Which of the following IV solutions should the nurse anticipate will be prescribed?

A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication that the medication is effective?

What is the initial treatment for Guillain-Barré syndrome?

Which of the following is a common complication of Guillain-Barre syndrome?

A nurse is assessing a client who reports severe headache and a stiff neck. The nurse's assessment reveals positive Kernig's signs. Which of the following actions should the nurse perform first?

A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?