What should the nurse suspect when hourly assessment of urine output on a client post-craniotomy exhibits a urine output from a catheter of 1,500 mL for two consecutive hours?
Cushing syndrome.
Adrenal crisis.
Arginine vasopressin deficiency (AVP-D).
Syndrome of inappropriate antidiuretic hormone (SIADH).
The Correct Answer is C
Choice A rationale
Cushing syndrome involves overproduction of cortisol and does not cause rapid urine output.
Choice B rationale
Adrenal crisis does not typically present with excessive urine output and would have other symptoms such as low blood pressure and electrolyte imbalances.
Choice C rationale
Arginine vasopressin deficiency (AVP-D), also known as diabetes insipidus, causes excessive urine output due to the lack of antidiuretic hormone (ADH).
Choice D rationale
Syndrome of inappropriate antidiuretic hormone (SIADH) causes water retention and low urine output, not excessive urine output. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Cerebrospinal fluid (CSF) does not produce cerebral neurotransmitters. Neurotransmitters are produced by neurons in the brain and nervous system.
Choice B rationale
CSF provides a protective barrier to some extent, but its primary function is not to act as a barrier to bacteria. The blood-brain barrier primarily serves this function.
Choice C rationale
CSF helps maintain a stable environment in the central nervous system but is not primarily an insulator for maintaining constant temperature. Its thermal properties are secondary.
Choice D rationale
The primary function of CSF is to cushion and protect the brain and spinal cord from mechanical injury. It also helps maintain the brain's buoyancy and provides a stable environment for the central nervous system.
Correct Answer is D
Explanation
Choice A rationale
A papule is a small, raised, solid pimple or swelling on the skin, often forming part of a rash. It does not typically contain pus and is not associated with impetigo, which is characterized by pustules.
Choice B rationale
A vesicle is a small fluid-filled blister on the skin, usually containing clear fluid. Impetigo typically presents with pustules rather than vesicles.
Choice C rationale
A wheal is a raised, itchy area of skin that is often a sign of an allergic reaction. It is not characteristic of impetigo, which involves pustules.
Choice D rationale
Impetigo is a highly contagious bacterial skin infection that usually presents with pustules, which are raised lesions containing pus. These pustules can rupture and form a yellowish crust, which is a hallmark of impetigo.
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