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A nurse is caring for a client who has a new diagnosis of hyperparathyroidism. Which of the following findings should the nurse expect?
- A. Hypercalcemia
- B. Weight loss
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Hypercalcemia is a hallmark of hyperparathyroidism due to excessive parathyroid hormone increasing blood calcium levels.
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A nurse is caring for a client who has a new prescription for spironolactone. Which of the following laboratory values should the nurse monitor?
- A. Potassium
- B. Hemoglobin
- C. Cholesterol
- D. Albumin
Correct Answer: A
Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia, so monitoring potassium levels is critical.
A nurse is reinforcing teaching with a client who is scheduled for a prostate biopsy. Which of the following instructions should the nurse include?
- A. Fast for 12 hours before the procedure.
- B. Expect blood in the urine after the procedure.
- C. Avoid physical activity for 24 hours before the procedure.
- D. Take a sedative before the procedure.
Correct Answer: B
Rationale: Blood in the urine is expected after a prostate biopsy due to minor trauma to the prostate tissue.
A nurse is caring for a client who has Clostridium difficile. When applying a cover gown, which of the following techniques should the nurse use?
- A. Tie the gown with the gloves on.
- B. Tuck the glove cuffs under the gown sleeves.
- C. Apply the gown before the gloves.
- D. Push the gown sleeves up to the elbows.
Correct Answer: C
Rationale: Applying the gown before the gloves is correct. According to infection control guidelines, the gown should be worn first, followed by gloves. This technique ensures that the gown covers the sleeves properly and that the gloves are overlapping the gown cuffs, reducing the risk of contamination.
A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should sleep flat in bed at night.
- B. I should eat three large meals a day.
- C. I should avoid drinking decaffeinated coffee.
- D. I should remain upright after eating.
Correct Answer: D
Rationale: Remaining upright after eating reduces acid reflux by preventing stomach contents from flowing back into the esophagus, aiding in GERD management.
A nurse is reinforcing teaching with a client who is scheduled for a tilt-table test. Which of the following instructions should the nurse include?
- A. Fast for 4 hours before the test.
- B. Wear tight-fitting clothing.
- C. Take a sedative before the test.
- D. Avoid drinking fluids during the test.
Correct Answer: A
Rationale: Fasting for 4 hours before a tilt-table test reduces the risk of nausea or vomiting during positional changes.