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The nurse determines that demeclocycline (Declomycin) is effective for a patient with syndrome of inappropriate antidiuretic hormone (SIADH) based on finding that the patient's


A) weight has increased.
B) urinary output is increased.
C) peripheral edema is decreased.
D) urine specific gravity is increased.

E) All of the above
F) B) and D)

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Which assessment finding of a 42-year-old patient who had a bilateral adrenalectomy requires the most rapid action by the nurse?


A) The blood glucose is 176 mg/dL.
B) The lungs have bibasilar crackles.
C) The blood pressure (BP) is 88/50 mm Hg.
D) The patient reports 5/10 incisional pain.

E) All of the above
F) B) and D)

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A 56-year-old patient who is disoriented and reports a headache and muscle cramps is hospitalized with possible syndrome of inappropriate antidiuretic hormone (SIADH) .The nurse would expect the initial laboratory results to include a(n)


A) elevated hematocrit.
B) decreased serum sodium.
C) low urine specific gravity.
D) increased serum chloride.

E) B) and C)
F) All of the above

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Which intervention will the nurse include in the plan of care for a 52-year-old male patient with syndrome of inappropriate antidiuretic hormone (SIADH) ?


A) Monitor for peripheral edema.
B) Offer patient hard candies to suck on.
C) Encourage fluids to 2 to 3 liters per day.
D) Keep head of bed elevated to 30 degrees.

E) A) and B)
F) A) and C)

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Which assessment finding for a 33-year-old female patient admitted with Graves' disease requires the most rapid intervention by the nurse?


A) Bilateral exophthalmos
B) Heart rate 136 beats/minute
C) Temperature 103.8° F (40.4° C)
D) Blood pressure 166/100 mm Hg

E) All of the above
F) None of the above

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A 63-year-old patient with primary hyperparathyroidism has a serum phosphorus level of 1.7 mg/dL (0.55 mmol/L) and calcium of 14 mg/dL (3.5 mmol/L) .Which nursing action should be included in the plan of care?


A) Restrict the patient to bed rest.
B) Encourage 4000 mL of fluids daily.
C) Institute routine seizure precautions.
D) Assess for positive Chvostek's sign.

E) A) and B)
F) B) and D)

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