Answer to Question 1
C
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A Weight gain results from retention of water when there is an excessive
production of antidiuretic hormone; in diabetes insipidus there is a decreased
production of antidiuretic hormone.
B Concentrated urine is a sign of the syndrome of inappropriate antidiuretic
hormone (SIADH), in which there is an excessive production of antidiuretic
hormone.
C The deficiency of antidiuretic hormone associated with diabetes insipidus causes
the body to excrete large volumes of dilute urine.
D A deficiency of antidiuretic hormone, as with diabetes insipidus, results in an
increased serum sodium concentration (greater than 145 mEq/L).
Answer to Question 2
B
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The patient may be from a culture where it is inappropriate to respond to pain. The nurse needs to objectively assess the patient's level of pain before implementing nonpharmacologic or pharmacologic pain management measures. Offering to provide a back rub may or may not be desired by the patient. Discussing pain control measures with the physician may be premature. Doing nothing unless the patient asks for pain medication is inappropriate, considering the patient is in the second stage of labor.
The nurse assists the patient in reflecting on his feelings
Assessing for Chvostek's Sign
The nurse assesses the patient's ability to use the walker correctly
Evaluation of a child for cystic fibrosis with a sweat chloride test. Sweat is being collected under
Application of an ostomy bag or pouch: B, An ostomy nurse applying an ostomy bag to a stoma;
To check pupillary reflexes the nurse first holds the penlight