The nurse is performing a shift assessment of a client with aldosteronism. What assessments should the nurse include? Select all that apply.

Urine output

Signs or symptoms of venous thromboembolism

peripheral pulses

blood pressure

skin integrity

Answer and Explanation

Correct Answer : A,C,D

A. Urine output should be monitored because excess aldosterone leads to sodium and water retention and increased potassium excretion, which can impact fluid balance and renal function.
B. Venous thromboembolism is not a typical complication of aldosteronism and is not a priority in this context.
C. Peripheral pulses help assess circulation, which can be affected by blood pressure changes caused by fluid retention.
D. Blood pressure should be closely monitored, as aldosteronism often leads to hypertension due to sodium and water retention.
E. While skin integrity is important in general assessments, it is not directly related to aldosteronism and is not a priority focus for this condition.

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Correct Answer is B

Explanation

A. While pain and peritonitis may occur in other abdominal conditions, they are not the most immediate or specific complications following ERCP.
B. Bleeding and perforation are serious potential complications of ERCP due to instrumentation of the biliary and gastrointestinal tract — requiring close post-procedure monitoring.
C. Acidosis and hypoglycemia are unrelated to ERCP and not expected complications of this procedure.
D. Gangrene of the gallbladder and hyperglycemia are not common complications post-ERCP, especially after stone removal rather than acute cholecystitis.

A. Risk for peripheral neurovascular dysfunction B. Excess fluid volume C. Hypothermia D. Ineffective airway clearance

Correct Answer is B

Explanation

A. Risk for peripheral neurovascular dysfunction is more relevant in conditions involving compromised circulation or trauma to extremities, not typical for SIADH.
B. Excess fluid volume is the priority concern in SIADH due to excessive release of antidiuretic hormone, leading to water retention, dilutional hyponatremia, and potential for cerebral edema.
C. Hypothermia is not a hallmark feature of SIADH and is not typically associated with fluid or sodium imbalances.
D. Ineffective airway clearance may be relevant in respiratory conditions but is not a primary issue in SIADH.

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The nurse is performing a shift assessment of a client with aldosteronism. What assessments should the nurse include? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has just returned from the ERCP removal of gallstones. The nurse should monitor the client for signs of what complications?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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