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What should the nurse suspect when hourly assessment of urine output on a client post-craniotomy exhibits a urine output from a catheter of 1,500 mL for two consecutive hours?

Cushing syndrome.

Adrenal crisis.

Arginine vasopressin deficiency (AVP-D).

Syndrome of inappropriate antidiuretic hormone (SIADH).

Answer and Explanation

The Correct Answer is C

Choice A rationale

Cushing syndrome involves overproduction of cortisol and does not cause rapid urine output.

Choice B rationale

Adrenal crisis does not typically present with excessive urine output and would have other symptoms such as low blood pressure and electrolyte imbalances.

Choice C rationale

Arginine vasopressin deficiency (AVP-D), also known as diabetes insipidus, causes excessive urine output due to the lack of antidiuretic hormone (ADH).

Choice D rationale

Syndrome of inappropriate antidiuretic hormone (SIADH) causes water retention and low urine output, not excessive urine output. .

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Correct Answer is D

Explanation

Choice A rationale

Gently pressing the bones on the neck does not effectively test for neck rigidity, which is a common indicator of meningeal irritation or inflammation. This method may detect tenderness or bony abnormalities but not rigidity.

Choice B rationale

Moving the head toward both sides primarily assesses range of motion and flexibility. While reduced range of motion can be noted, this method doesn't specifically test for the resistance characteristic of neck rigidity.

Choice C rationale

Lightly tapping the lower portion of the neck to detect sensation tests for sensory nerve function but is not relevant to assessing muscle tone or rigidity, which is related to motor nerve and muscular response.

Choice D rationale

Moving the head and chin toward the chest is a proper technique to test for neck rigidity. This maneuver can elicit pain or resistance in cases of meningeal irritation, providing a reliable assessment for rigidity.

A. Parietal. B. Temporal. C. Frontal. D. Occipital. E. Occipital.

Correct Answer is A

Explanation

Choice A rationale

The parietal lobe is responsible for processing sensory information and spatial awareness, including proprioception (the sense of body position in space). Damage to the parietal lobe can affect these functions.

Choice B rationale

The temporal lobe is involved in processing auditory information and memory, not spatial awareness. Damage to this lobe would affect hearing and memory rather than proprioception.

Choice C rationale

The frontal lobe is associated with executive functions, such as decision-making, problem-solving, and motor control, but not primarily with spatial awareness. Damage to this lobe impacts cognitive and motor functions.

Choice D rationale

The occipital lobe is primarily responsible for processing visual information. Damage to this lobe affects vision rather than spatial awareness or proprioception.

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What should the nurse suspect when hourly assessment of urine output on a client post-craniotomy exhibits a urine output from a catheter of 1,500 mL for two consecutive hours?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing the physical examination of a client with a suspected neurologic disorder. In addition to assessing other parts of the body, the nurse should assess for neck rigidity. Which method should help the nurse assess for neck rigidity correctly?

Correct Answer is D

Explanation

A client has difficulty interpreting their awareness of body position in space. Which lobe is most likely to be damaged?

Correct Answer is A

Explanation

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