Nokea
During the physical assessment of this client, which finding the nurse's blood, the observer?
- A. Shortened height
- B. Enlarged hands
- C. Gonadal atrophy
- D. Loss of teeth
Correct Answer: B
Rationale: Acromegaly, caused by excess growth hormone, leads to enlarged hands due to soft tissue and bone overgrowth.
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After the client returns from surgery and resumes eating, the nurse should encourage the client to eat foods from which food group?
- A. Bread and cereals
- B. Milk and cheese
- C. Meat and seafood
- D. Fruit and vegetables
Correct Answer: B
Rationale: Milk and cheese are rich in calcium, essential for clients post-parathyroidectomy to prevent hypocalcemia.
Which signs/symptoms should the nurse expect to assess in the 31-year-old client who has a sustained release of growth hormone (GH)?
- A. An enlarged forehead, maxilla, and face.
- B. A six (6)-inch increase in height of the client.
- C. The client complaining of a severe headache.
- D. A systolic blood pressure of 200 to 300 mm Hg.
Correct Answer: A
Rationale: Excess GH (acromegaly) causes facial and bone enlargement (e.g., forehead, maxilla). Height increase occurs pre-puberty, headaches are nonspecific, and extreme hypertension is unrelated.
The nurse should assess for hypocalcemia based on which client statements after a subtotal thyroidectomy?
- A. I feel tingling in my hands and feet.
- B. I have a headache.
- C. I feel sleepy.
- D. I have a sore throat.
Correct Answer: A
Rationale: Tingling in the hands and feet indicates hypocalcemia, a potential complication due to parathyroid gland damage during thyroidectomy.
The client is being admitted to the outpatient department prior to an endoscopic retrograde cholangiopancreatogram (ERCP) to rule out cancer of the pancreas. Which preprocedure instruction should the nurse teach?
- A. Prepare to be admitted to the hospital after the procedure for observation.
- B. If something happens during the procedure, then emergency surgery will be done.
- C. Do not eat or drink anything after midnight the night before the test.
- D. If done correctly, this procedure will correct the blockage of the stomach.
Correct Answer: C
Rationale: NPO after midnight prevents aspiration during ERCP sedation. Hospital admission, emergency surgery, and blockage correction are incorrect.
The nurse is admitting the client tentatively diagnosed with possible hyperaldosteronism. What should be the nurse's priority?
- A. Prepare for a computed tomography (CT) scan
- B. Give prn prescribed analgesic to treat headache
- C. Obtain an ECG to evaluate for dysrhythmias
- D. Assess for generalized weakness and fatigue
Correct Answer: C
Rationale: Obtaining an ECG is priority to detect dysrhythmias from hypokalemia caused by potassium wasting in hyperaldosteronism.