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 D

Explanation

A. Purple striations are more commonly associated with Cushing's syndrome, not Addison's disease.
B. Intention tremors are not a characteristic of Addison's disease.
C. Hirsutism is associated with excessive androgen production, not Addison's disease.
D. Hyperpigmentation, especially in areas exposed to friction, is a classic sign of Addison's disease due to increased production of melanocyte-stimulating hormone along with adrenocorticotropic hormone.

A. Weight loss B. Hypernatremia C. Oliguria D. increased thirst

Correct Answer is C

Explanation

A. Weight loss is not a typical manifestation; weight gain due to fluid retention is more likely in SIADH.
B. Hypernatremia is not seen in SIADH; hyponatremia is more common.
C. Oliguria, or decreased urine output, is a characteristic manifestation of SIADH due to excessive antidiuretic hormone.
D. Increased thirst is not a primary symptom of SIADH; fluid retention and dilutional hyponatremia are more significant concerns.

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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 assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is assessing a client who had a craniotomy and has developed syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following manifestations should the nurse anticipate?

Correct Answer is C

Explanation

A nurse is preparing to provide care for a client in the emergency department who has syndrome of Inappropriate antidiuretic hormone (SIADH). The client has a serum sodium of 115 mEq/L (136-145 mEq/L). Which of the following IV solutions should the nurse anticipate will be prescribed?

Which of the following is an expected finding in a client with syndrome of inappropriate antidiuretic hormone (SIADH)

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?

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

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?

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 nursing intervention is appropriate for a client with Syndrome of Inappropriate Antidiuretic Hormone (SIADH)?

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