Patient Data

Exhibits

Choose the most likely options for the information missing from the statement by selecting from the lists of options provided.

The client is showing signs of
dropdown
related to
dropdown
.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Rationale for Correct Choices:

Hyponatremia: The client shows signs of neurological impairment (confusion and altered LOC), which are common symptoms of hyponatremia. The significant, concentrated urine output despite normal IV fluid intake suggests water retention and sodium dilution.
Syndrome of inappropriate antidiuretic hormone (SIADH): A hypothalamic tumor can disrupt normal ADH regulation, leading to SIADH. In SIADH, excessive ADH causes water retention without sodium retention, resulting in dilutional hyponatremia. The high urine output relative to intake further supports inappropriate ADH secretion.

Rationale for Incorrect Choices:

Hypernatremia: This condition is associated with dehydration, increased serum osmolality, and symptoms like thirst and dry mucous membranes, not confusion with preserved fluid intake and high urine output seen here.
Hypokalemia: This typically presents with muscle weakness, cramping, or arrhythmias. It does not account for the client’s confusion or link directly to hypothalamic tumors and fluid imbalance.
Diabetes insipidus: Although linked to hypothalamic or pituitary damage, diabetes insipidus causes hypernatremia due to water loss and low urine osmolality, not confusion from fluid retention and hyponatremia.
Addison’s disease: Addison’s typically presents with hypotension, hyperkalemia, and fatigue. It is an adrenal insufficiency condition, not primarily linked to hypothalamic tumors or SIADH-like fluid handling.

Nursing Test Bank

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Correct Answer is A

Explanation

Rationale:

A. Encourage the client to obtain a complete physical exam, since these symptoms are consistent with an ulcer: The client’s symptoms are typical of a duodenal ulcer. A full evaluation allows for appropriate diagnosis and treatment without causing alarm.

B. Advise the client that he needs to seek immediate medical evaluation and treatment of these symptoms: Immediate evaluation is not warranted unless the client has signs of bleeding, perforation, or severe distress. A timely but routine follow-up is appropriate for stable symptoms.

C. Assure the client that his symptoms may only reflect reflux, since ulcer pain is not relieved with food: Duodenal ulcer pain is classically relieved by eating, while gastric ulcer pain may worsen with food. Dismissing the symptoms as reflux could delay interventions.

D. Instruct the client that these mild symptoms can generally be controlled with changes in his diet: While diet can influence ulcer symptoms, assuming dietary change alone is sufficient may delay proper medical evaluation and necessary pharmacologic treatment.

A. A bucket of water was spilled in the hallway. B. One staff member has not reported to work. C. A client's wife has asked to speak with the charge nurse. D. The census report has not been completed.

Correct Answer is A

Explanation

Rationale:

A. A bucket of water was spilled in the hallway: This represents an immediate safety hazard for staff, clients, and visitors. Wet floors can lead to serious falls and injuries, so it must be addressed first to prevent harm and liability.

B. One staff member has not reported to work: While staffing shortages impact workload and coverage, they do not present an immediate physical danger. This issue can be addressed after eliminating urgent environmental risks.

C. A client's wife has asked to speak with the charge nurse: Family concerns are important and should be acknowledged, but they do not carry the urgency of an environmental safety threat. The nurse can follow up after resolving more pressing issues.

D. The census report has not been completed: Completing paperwork is essential for administrative tracking and planning, but it does not directly impact client safety. It should be prioritized after more urgent clinical and safety concerns are handled.

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Patient Data Exhibits Choose the most likely options for the information missing from the statement by selecting from the lists of options provided. The client is showing signs of dropdown related to dropdown.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client shares with the nurse concerns of a possible stomach ulcer. The client is experiencing heartburn and a dull gnawing pain that is relieved with eating. Which is the best response by the nurse?

Correct Answer is A

Explanation

During shift report, the charge nurse receives notice of several problems. Which problem should the nurse address first?

Correct Answer is A

Explanation

An adolescent with autism spectrum disorder (ASD) comes to the clinic for the first time. Which intervention(s) should the nurse implement? Select all that apply.

The nurse administers an oral antiviral to a client with shingles. Which finding is most important for the nurse to report to the healthcare provide?

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Four days after exposure to COVID-19 a client has a negative COVID-19 test result. Eight days after the negative test result, the client presents with fever, fatigue, and cough and the nurse performs a second COVID-19 test. Which action is most important for the nurse to take?

The nurse is caring for a client with the sexually transmitted infection (STI) syphilis. The client reports having unprotected sex. Which response should the nurse provide?

A client who weighs 110 lb receives a prescription for dalteparin 150 units/kg SUBQ daily for 4 months. The medication is available in 7,500 units/0.3 mL prefilled syringe. How many mL should the nurse administer? (Enter numerical value only.)

Patient Data

Exhibits

Choose the most likely options for the information missing from the statement by selecting from the lists of options provided.

The client is showing signs of
dropdown
related to
dropdown
.