A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and is receiving 3% sodium chloride via continuous IV. Which of the following laboratory findings should the nurse identify as an indication that the SIADH is resolving?- Skildor

Question 1 of 5

A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and is receiving 3% sodium chloride via continuous IV. Which of the following laboratory findings should the nurse identify as an indication that the SIADH is resolving?

A. Urine specific gravity 1.020 B. Sodium 119 mEq/L C. BUN 8 mg/dL D. Calcium 8.7 mg/dL

Correct Answer: A

Rationale: A urine specific gravity of 1.020 is within the expected reference range and indicates that the kidneys are appropriately concentrating urine, which is a sign that the syndrome of inappropriate antidiuretic hormone (SIADH) is resolving. A low sodium level (choice B) is associated with SIADH, so a sodium level of 119 mEq/L is not indicative of resolution. BUN (choice C) and calcium levels (choice D) are typically not directly related to SIADH resolution.

Question 2 of 5

A nurse is providing teaching to a client who was newly diagnosed with nephrotic syndrome. Which of the following statements should indicate to the nurse that the client understands the teaching?

A. I can expect swelling in my hands and on my face. B. The amount of protein in my blood is high. C. I might have some pain and gas in my stomach from this condition. D. I will use a soft bristle toothbrush to prevent bleeding gums.

Correct Answer: A

Rationale: The correct answer is A. Nephrotic syndrome leads to edema, especially of the face and dependent areas, due to the loss of protein in the urine. Choice B is incorrect because nephrotic syndrome leads to protein loss in the urine, not an increase in blood protein levels. Choice C is incorrect as stomach pain and gas are not typical symptoms of nephrotic syndrome. Choice D is incorrect as using a soft bristle toothbrush is not directly related to the manifestations of nephrotic syndrome.

Question 3 of 5

A client with heart failure is prescribed furosemide 20 mg PO twice daily. Which of the following instructions should the nurse include during discharge teaching?

A. Monitor for increased blood pressure B. Increase intake of high-potassium foods C. Expect an increase in swelling in the hands and feet D. Take the second dose at bedtime

Correct Answer: B

Rationale: The correct answer is to instruct the client to increase their intake of high-potassium foods. Furosemide can lead to hypokalemia, a condition of low potassium levels in the blood. Increasing the consumption of high-potassium foods helps prevent this adverse effect. Monitoring for increased blood pressure (choice A) is not directly related to furosemide use. Expecting an increase in swelling (choice C) is incorrect as furosemide is a diuretic that helps reduce swelling. Taking the second dose at bedtime (choice D) is not necessary unless prescribed by the healthcare provider.

Question 4 of 5

A client who has burn injuries covering their upper body is concerned about their altered appearance. Which of the following statements should the nurse make?

A. It is okay to not want to touch the burned areas of your body. B. Cosmetic surgery should be performed within the next year to be effective. C. Reconstructive surgery can completely restore your previous appearance. D. It could be helpful for you to attend a support group for people who have burn injuries.

Correct Answer: D

Rationale: The nurse should encourage the client to attend a support group for individuals who have burn injuries. Support groups can provide emotional support, shared experiences, and coping strategies for accepting their altered appearance. Choice A is not the best response as it does not offer proactive support. Choice B is not appropriate as the timing of cosmetic surgery should be determined by healthcare providers, not immediate. Choice C is misleading as reconstructive surgery may improve appearance but may not completely restore the previous look.

Question 5 of 5

A nurse is assessing a client who has meningitis. The nurse should identify which of the following findings as a positive Kernig's sign?

A. After stroking the lateral area of the foot, the client's toes contract and draw together B. After hip flexion, the client is unable to extend their leg completely without pain C. The client's voluntary movement is not coordinated D. The client reports pain and stiffness when flexing their neck

Correct Answer: B

Rationale: A positive Kernig's sign is identified when a client is unable to extend their leg completely without pain after hip flexion. This finding suggests meningeal irritation. Choices A, C, and D do not describe Kernig's sign. Choice A describes a normal plantar reflex, Choice C refers to coordination deficits, and Choice D indicates neck pain and stiffness, which are not related to Kernig's sign.

ATI Capstone Adult Medical Surgical Assessment 1

Skildor

ATI RN

ATI RN

ATI Capstone Adult Medical Surgical Assessment 1 Questions

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