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 A

Explanation

A. 3% sodium chloride is a hypertonic solution used to treat severe hyponatremia by raising the serum sodium levels rapidly.
B. 0.9% sodium chloride is isotonic and would not be sufficient to correct severe hyponatremia as quickly.
C. Dextrose 5% in 0.9% sodium chloride is not typically used for severe hyponatremia treatment.
D. Dextrose 5% in 0.45% sodium chloride is hypotonic and not suitable for treating severe hyponatremia.

A. Hypernatremia B. Increased urine output C. Decreased serum sodium levels D. Increased serum osmolality

Correct Answer is C

Explanation

A. Hypernatremia is not characteristic of SIADH; hyponatremia is more common.
B. Increased urine output is not seen in SIADH; rather, there is decreased urine output.
C. Decreased serum sodium levels (hyponatremia) are a key feature of SIADH due to excessive water retention.
D. Increased serum osmolality is not seen in SIADH; decreased serum osmolality is more characteristic.

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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 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?

Correct Answer is A

Explanation

Which of the following is a characteristic of syndrome of inappropriate antidiuretic hormone (SIADH)?

Correct Answer is C

Explanation

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