a,d,e,f - Answer A client with a primary brain tumor has developed
syndrome of inappropriate secretion of antidiuretic hormone (SIADH).
The nurse will
... [Show More] expect to see which clinical findings upon assessment?
(Select all that apply).
a. Nausea and vomiting
b. Hyperthermia
c. Bradycardia
d. Increased weight
e. Decreased serum sodium
f. Decreased level of consciousness
a,b - Answer A nurse is caring for a child with a diagnosis of meningitis. What clinical
findings indicate an increase in intracranial pressure? (Select all that apply).
a. Irritability
b. Bradycardia
c. Hyperalertness
d. Decreased pulse pressure
e. Decreased systolic blood pressure
a - Answer What action should the nurse take when caring for a client who has a
possible skull fracture as a result of trauma?
a. Monitor the client for signs of brain injury.
b. Check for hemorrhaging from the oral and nasal cavities.
c. Elevate the foot of the bed if the client develops symptoms of shock.d. Observe for clinical indicators of decreased intracranial pressure and temperature.
a,b,e - Answer The nurse is caring for a client who was just admitted to the hospital
with the diagnosis of head trauma. Which clinical indicators should the nurse
consider as evidence of increasing intracranial pressure? (Select all that apply).
a. Vomiting
b. Irritability
c. Hypotension
d. Increased respirations
e. Decreased level of consciousness
a - Answer The nurse uses the Glasgow Coma Scale to assess a client with a head
injury. Which Glasgow Coma Scale score indicates that the client is in a coma?
a. 6
b. 9
c. 12
d. 15
a - Answer A client is scheduled for a computed tomography (CT) of the brain with
contrast. When reviewing the client's medical record, what significant finding should
the nurse report to the primary healthcare provider before the diagnostic procedure?
a. The client takes metformin daily.
b. The client has not been nothing by mouth (NPO).
c. The client reports an allergy to gadolinium.
d. The client was not prescribed a bowel prep.
d - Answer After a head injury, a client develops a deficiency of antidiuretic hormone
(ADH). What should the nurse consider before assessing the patient about the
response to secretion of ADH?
a. Serum osmolarity increases
b. Urine concentration decreases
c. Glomerular filtration decreases [Show Less]