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[Verified Answer]: How are secretion of antidiuretic hormone…

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How are secretion of antidiuretic hormone (ADH) and the perception of thirst stimulated? Increase in plasma osmolality The nurse is assessing a client who has been experiencing a high fever with excessive perspiration and diarrhea, with a plasma sodium level of 150 mmol/L. Which clinical manifestation would the nurse associate with these assessment findings? -Oliguria Which arterial blood gas values should the nurse associate with a client reporting surgical pain who has a BP of 142/86, a heart rate of 104/minute, and a respiratory rate of 34/minute? -pH 7.51, PCO2 29, HCO3- 24 Which mechanisms would promote homeostasis when the pH is 7.2? – acidic = build up of acids and lack of breathing -Kussmaul respirations; kidneys reabsorb bicarbonate A 26-year-old client has been admitted with suspected hyponatremia after drinking sevexral litres of tap water in a couple of hours. What would the nurse assess for? Lethargy, headache, confusion Apprehension, seizures, coma When treating fluid imbalances, which is the ultimate goal of care? -To diagnose and correct the underlying cause the nurse is caring for a client with a serum sodium level of 110 mmol/L. Which solution will be used to treat this condition? -0.9% sodium chloride Which intravenous solution ordered by the doctor replaces an intracellular fluid volume deficit? -isotonic What are the processes required to move large particles and particles with electrical charges across membranes? -Diffusion and active transport A nurse is scheduled to administer a potassium supplement to a client. Which priority action should the nurse take prior to administering the drug? -Check the client’s potassium level from the morning labs. The nurse is caring for a client with an extracellular fluid volume deficit. The nurse is aware that which compensatory mechanism is initiated in the presence of an extracellular fluid volume deficit? -Activation of the renin-angiotensin-aldosterone system -The nurse is caring for a client with chronic obstructive pulmonary disease who has polycythemia (an increased number of RBCs). What is the most likely cause of this finding? -Significant hypoxemia Which laboratory value is most important for the nurse to report to the doctor? -Potassium 2.9 mmol/ The nurse is assisting a client to master the use of a steroid inhaler. The client says, “Can’t I take this in a pill form instead of an inhaler?” What information should be included in the nurse’s response? Inhalers produce their effect locally, thus reducing adverse effects of the steroid

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