Which instruction should the nurse discuss with the client when completing a sensory assessment?

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Integumentary System Questions Quizlet Questions

Question 1 of 4

Which instruction should the nurse discuss with the client when completing a sensory assessment?

Correct Answer: B

Rationale: Keeping eyes shut during sensory assessments ensures accurate results.

Question 2 of 4

Which signs/symptoms indicate the client with hypothyroidism is not taking enough thyroid hormone?

Correct Answer: C

Rationale: Hypothyroidism causes slow metabolism, leading to constipation and cold intolerance if undertreated.

Question 3 of 4

The nurse is watching the cardiac monitor, and a client's rhythm suddenly changes. There are no P waves; instead, there are fibrillatory waves before each QRS complex. How should the nurse correctly interpret the client's heart rhythm?

Correct Answer: A

Rationale: Fibrillatory waves with QRS complexes indicate atrial fibrillation.

Question 4 of 4

The nurse is admitting a client who is diagnosed with syndrome of inappropriate antidiuretic hormone secretion (SIADH) and has serum sodium of 118 mEq/L (118 mmol/L). Which health care provider prescription should the nurse anticipate receiving?

Correct Answer: A

Rationale: In SIADH with severe hyponatremia (sodium 118 mEq/L), 3% NaCl is used to slowly correct sodium levels, as rapid correction can cause neurological damage. Furosemide and fluid restriction may assist but are secondary.

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