Interpret these clinical findings and determine the nurse's next action.

Clinical Findings:

Complaints of dizziness and unsteady gait.

BP: 98/60 mmHg.

Carbidopa-Levodopa last taken 30 minutes ago.

Reassess vital signs in 1 hour.

Assist the patient into a sitting position and notify the healthcare provider.

Administer the next dose of Carbidopa-Levodopa early.

Educate the patient about increasing his exercise.

Answer and Explanation

The Correct Answer is B

Choice A reason: Reassessing vital signs in 1 hour is not an immediate action and does not address the patient’s current symptoms of dizziness and unsteady gait, which indicate a potential problem that requires immediate attention. Waiting an hour to reassess may delay necessary interventions that could prevent harm.
Choice B reason: Assisting the patient into a sitting position and notifying the healthcare provider is the most appropriate action. The symptoms of dizziness and unsteady gait, along with a BP of 98/60 mmHg, suggest that the patient may be experiencing orthostatic hypotension or a side effect of Carbidopa-Levodopa. Elevating the patient's position can help prevent falls, and notifying the healthcare provider ensures that the situation is assessed and managed promptly. This action addresses the immediate safety of the patient and facilitates appropriate medical intervention.
Choice C reason: Administering the next dose of Carbidopa-Levodopa early is not recommended without specific orders from the healthcare provider. It could potentially lead to overmedication and worsen the patient’s symptoms or cause adverse effects. Medication administration should always follow the prescribed schedule unless otherwise directed by the healthcare provider.
Choice D reason: Educating the patient about increasing his exercise is important for overall health and mobility but is not an immediate intervention for the acute symptoms of dizziness and unsteady gait. The patient’s current condition requires prompt assessment and intervention rather than education on exercise, which can be addressed later once the immediate issue is managed.

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Correct Answer is B

Explanation

Choice A reason: 3% Normal Saline (3% NaCl) is not appropriate for treating acute Diabetes insipidus because it is hypertonic and can exacerbate dehydration, which is a primary concern in DI.
Choice B reason: Dextrose 5% in water (D5W) is appropriate for treating acute Diabetes insipidus as it provides free water without electrolytes, helping to correct the water deficit without causing electrolyte imbalances.
Choice C reason: Lactated Ringer's (LR) is not suitable for treating acute Diabetes insipidus because it contains electrolytes that can worsen the electrolyte imbalance in DI patients.
Choice D reason: Normal Saline (0.9% NaCl) can be used for treating acute Diabetes insipidus but it is not the most appropriate choice as it does not provide free water, which is needed to address the water deficit in DI patients.

A. "I need to shop for foods low in sodium and avoid adding salt to food." B. "I need to limit my fluid intake." C. "I should eat foods high in potassium because diuretics cause potassium loss." D. "I should weigh myself daily and report sudden weight loss or gain."

Correct Answer is ["B","C"]

Explanation

Choice A reason: "I need to shop for foods low in sodium and avoid adding salt to food." This statement is correct and indicates appropriate understanding. Patients with SIADH need to manage their sodium intake carefully to avoid exacerbating hyponatremia.
Choice B reason: "I need to limit my fluid intake." This statement indicates a misunderstanding. Patients with SIADH should actually increase their fluid intake to help dilute the excess antidiuretic hormone and reduce hyponatremia. Limiting fluid intake can worsen the condition.
Choice C reason: "I should eat foods high in potassium because diuretics cause potassium loss." This statement is incorrect in the context of SIADH. While potassium intake is important for patients on diuretics, it is not directly related to SIADH management. The focus should be on managing fluid and sodium levels.
Choice D reason: "I should weigh myself daily and report sudden weight loss or gain." This statement is correct and indicates appropriate understanding. Regular weight monitoring is important for patients with SIADH to detect fluid imbalances early.

View Question and Answer

Test	Result	Normal Range
ALT (Alanine Aminotransferase)	1.200 U/L	7-56 U/L
AST (Aspartate Aminotransferase)	1.000 U/L	10-40 U/L
Total Bilirubin	5.5 mg/dL	0.1-1.2 mg/dL
Hepatitis A IgM	Positive	Negative

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Interpret these clinical findings and determine the nurse's next action. Clinical Findings: Complaints of dizziness and unsteady gait. BP: 98/60 mmHg. Carbidopa-Levodopa last taken 30 minutes ago.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which IV fluid is the most appropriate for treating acute Diabetes insipidus (DI)?

Correct Answer is B

Explanation

Which patient statement indicates to the nurse that further instruction is needed about chronic syndrome of inappropriate antidiuretic hormone (SIADH)?

Correct Answer is ["B","C"]

Explanation

Important nursing interventions when caring for a patient with Cushing syndrome include:

Which finding indicates to the nurse that the current therapies are effective for a patient with acute adrenal insufficiency (Addison's Disease)?

Causative factors for the development of delirium include which of the following? Select all that apply.

Which finding indicates to the nurse that the current therapies are effective for a patient who has Addison's disease?

A patient who has been treated for status epilepticus in the emergency department will be transferred to the medical nursing unit. Which equipment should the nurse have available in the patient's assigned room?

A patient at the clinic says, "I always walk after dinner, but lately my leg cramps and hurts after just a few minutes. The pain goes away after I stop walking, though." Which focused assessment would the nurse make?

Order the steps for completing a blood transfusion.

Interpret these clinical findings and determine the nurse's next action.

Clinical Findings:

Complaints of dizziness and unsteady gait.

BP: 98/60 mmHg.

Carbidopa-Levodopa last taken 30 minutes ago.