A nurse is assessing a client who reports severe headache and a stiff neck. The nurse's assessment reveals positive Kernig's signs. Which of the following actions should the nurse perform first?

Administer Antibiotics

Decrease bright lights

Initiate IV access

Implement droplet precautions

Answer and Explanation

The Correct Answer is D

A. Administering antibiotics is crucial but not the immediate first action.
B. Decreasing bright lights can help with comfort but is not the first priority.
C. Initiating IV access is important for medication administration but not the first action.
D. Implementing droplet precautions is the first action to prevent the spread of potentially contagious bacterial meningitis until the causative organism is identified.

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Correct Answer is A

Explanation

A. A decrease in urine output indicates that vasopressin is effectively reducing the excessive urine production in diabetes insipidus.
B. Vasopressin does not affect blood sugar levels.
C. A decrease in specific gravity would indicate more dilute urine, not an effective treatment outcome for diabetes insipidus.
D. A decrease in blood pressure is not a desired effect of vasopressin therapy in diabetes insipidus.

A. Provide a low-carbohydrate diet. B. Restrict fluid intake. C. Administer oral corticosteroids. D. Weigh the client daily.

Correct Answer is C

Explanation

A. A balanced diet with adequate carbohydrates is important for managing Addison's disease; a low-carbohydrate diet is not recommended.
B. Restricting fluid intake is not appropriate for Addison's disease; adequate fluid intake is necessary.
C. Administering oral corticosteroids is crucial to replace the deficient cortisol levels and prevent Addisonian crisis.
D. While daily weight monitoring is important, administering corticosteroids addresses the immediate risk of crisis.

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A nurse is assessing a client who reports severe headache and a stiff neck. The nurse's assessment reveals positive Kernig's signs. Which of the following actions should the nurse perform first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication that the medication is effective?

Correct Answer is A

Explanation

A nurse is caring for a client who has Addison's disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

Which of the following statements correctly describes the Plateau stage of Guillain-Barre syndrome?

A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. Which of the following prescriptions should the nurse anticipate?

Which of the following is an example of health promotion for meningitis?

A nurse is assessing a client who has diabetes insipidus. Which of the following findings is a manifestation of this diagnosis?

A nurse is planning care for a client who has a new diagnosis of diabetes insipidus. Which of the following interventions should the nurse include in the plan of care?

A nursing is providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should nurse include in the teaching?

Which of the following are risk factors for meningitis? (Select All that Apply.)

A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?