Nokea
After a head injury, a client develops a deficiency of antidiuretic hormone (ADH). What should the nurse consider before assessing the patient about the response to secretion of ADH?
- A. Serum osmolality increases
- B. Urine concentration decreases
- C. Glomerular filtration decreases
- D. Tubular reabsorption of water increases
Correct Answer: B
Rationale: ADH deficiency (diabetes insipidus) post-head injury causes dilute urine (B) due to reduced water reabsorption. Osmolality increases (A) is a result, not a cause. GFR (C) isn't primarily affected. Reabsorption (D) decreases. B is correct. Rationale: Low ADH leads to polyuria with low urine concentration, a key assessment in DI, per endocrine trauma care.
You may also like to solve these questions
The client has an allergy with penicillin. What is the best way to communicate this information?
- A. Place an allergy alert in the Kardex
- B. Notify the attending physician
- C. Write it on the patient's chart
- D. Take note when giving medications
Correct Answer: A
Rationale: Placing an allergy alert in the Kardex (A) is best; it's immediately accessible to all staff, per safety protocols. Notifying the physician (B) or charting (C) delays visibility, noting mentally (D) risks errors. A ensures quick action, making it correct.
Who was the first president of the PNA?
- A. Rosario Delgado
- B. Anastacia Giron Tupas
- C. Julita Sotejo
- D. Loreto Tupas
Correct Answer: A
Rationale: Rosario Delgado, PNA's first president in 1922, led its founding e.g., pushing licensure exams. Giron-Tupas (founder), Sotejo (educator), and Tupas differ. Her role established nursing's professional voice in the Philippines, a foundational step in its organizational history.
Roger has been seen agitated, shouting and running. As Nurse Aida approaches, he shouts and swear, calling Aida names. Nurse Aida told Roger 'That is an unacceptable behavior Roger, Stop and go to your room now.' The situation is most likely in what phase of NPR?
- A. Pre Orientation
- B. Orientation
- C. Working
- D. Termination
Correct Answer: C
Rationale: This scenario fits the Working phase (C). Roger's agitation and Aida's response setting boundaries suggest an established relationship where interventions address behaviors. Pre-Orientation (A) is pre-contact, Orientation (B) builds trust, not confrontation, and Termination (D) ends care. In Peplau's Working phase, the nurse actively helps the client manage issues, as Aida does here, making C the likely phase.
The nurse is caring for a client receiving oxygen therapy via a nasal cannula. Which action by the nurse is appropriate when providing oral care to the client?
- A. Removing the nasal cannula during oral care
- B. Increasing the oxygen flow rate during oral care
- C. Applying petroleum jelly to the client's lips before oral care
- D. Instructing the client to breathe through the mouth during oral care
Correct Answer: A
Rationale: Removing the nasal cannula during oral care (A) allows thorough hygiene without interference, briefly tolerable given short duration. Increasing flow (B) is unnecessary. Petroleum jelly (C) isn't for oral care. Mouth breathing (D) isn't needed if removed. Removal, per nursing practice, ensures effective care.
Which of the following statement best describe incident reporting?
- A. Hiding errors
- B. Reporting adverse events
- C. A patient task
- D. A routine check
Correct Answer: B
Rationale: Incident reporting is reporting adverse events (B), per nursing e.g., falls logged. Not hiding (A), not task (C), not routine (D) safety-focused. B best defines its role, improving Mr. Gary's care safety, making it correct.