The nurse is caring for a client suspected of having an endocrine disorder.

Exhibits

Based on the client's laboratory data, the client is at the highest risk for which condition?

Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

Cushing's syndrome/disease

Adrenal insufficiency

Diabetes Insipidus (DI)

Answer and Explanation

The Correct Answer is A

Choice A rationale: These lab findings, particularly concentrated urine (high specific gravity) and hyponatremia, are consistent with SIADH, where excessive ADH secretion leads to water retention and dilutional hyponatremia.

Choice B rationale: While it can affect sodium levels, Cushing's syndrome typically results in hypernatremia or normal sodium levels rather than hyponatremia.

Choice C rationale: Usually presents with hyponatremia but not specifically with high urine specific gravity or hematocrit.

Choice D rationale: DI is associated with high serum sodium and low urine specific gravity due to excessive excretion of dilute urine.

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Correct Answer is C

Explanation

Choice A rationale: Performing active range of motion exercises may not be safe or appropriate immediately following a hemorrhagic stroke.

Choice B rationale: Maintaining the head of bed flat or at a 30-degree position might be used for ischemic strokes but not necessarily for hemorrhagic strokes.

Choice C rationale: Teaching measures to avoid the Valsalva maneuver (straining during activities like defecation) helps prevent sudden increases in intracranial pressure, which can be detrimental after a hemorrhagic stroke.

Choice D rationale: Monitoring for Battle's sign (bruising behind the ears associated with basilar skull fracture) is not relevant in the care of a hemorrhagic stroke.

A. Her healthcare provider now prescribes a calcium channel blocker for hypertension. B. She sustained an insect bite to her left arm yesterday. C. She has lost twenty pounds since the surgery. D. Her hobby is playing classical music on the piano.

Correct Answer is B

Explanation

Choice A rationale: Her healthcare provider prescribing a calcium channel blocker for hypertension is not directly linked to lymphedema.

Choice B rationale: Sustaining an insect bite to her left arm yesterday - Trauma or injury, such as an insect bite, to the affected limb post-mastectomy can increase the risk of

lymphedema.

Choice C rationale: Losing twenty pounds since the surgery might influence overall health but doesn’t specifically relate to lymphedema.

Choice D rationale: Her hobby of playing classical music on the piano is unrelated to the risk of developing lymphedema.

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The nurse is caring for a client suspected of having an endocrine disorder. Exhibits Based on the client's laboratory data, the client is at the highest risk for which condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is admitted with a hemorrhagic stroke. Which nursing action should be included in the plan of care?

Correct Answer is C

Explanation

The nurse working in a postoperative surgical clinic is assessing a woman who had a left radical mastectomy for breast cancer. Which factor puts this client at greatest risk for developing lymphedema?

Correct Answer is B

Explanation

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The nurse is caring for a client suspected of having an endocrine disorder.

Exhibits

Based on the client's laboratory data, the client is at the highest risk for which condition?