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Hyperparathyroidism is caused by increased levels of thyroxine in blood plasma. A client with this endocrine dysfunction would experience:
- A. Heat intolerance and systolic
- B. Diastolic hypertension and widened hypertension pulse pressure
- C. Weight gain and heat intolerance
- D. Anorexia and hyper-excitability
Correct Answer: A
Rationale: Hyperparathyroidism is caused by increased levels of parathyroid hormone (PTH), not thyroxine. The effects of hyperparathyroidism include increased calcium levels in the blood, which can lead to symptoms such as heat intolerance and systolic hypertension. Systolic hypertension is when the top number in a blood pressure reading is elevated. This is why option A (heat intolerance and systolic hypertension) is the correct choice for a client with hyperparathyroidism. Options B, C, and D do not accurately reflect the symptoms associated with this endocrine dysfunction.
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The nurse is assessing a 6-month-old healthy infant who weighed 7 pounds at birth. The nurse should expect the infant to now weigh approximately how many pounds?
- A. 10
- B. 15
- C. 20
- D. 25
Correct Answer: C
Rationale: Infants typically double their birth weight by around 6 months of age. Since the infant weighed 7 pounds at birth, it is reasonable to expect the infant to weigh approximately 14 pounds at the age of 6 months. Therefore, the closest option among the choices provided is 20 pounds.
By the age of 7 months, the infant is able to do all the following EXCEPT
- A. transfer object from hand to hand
- B. actively bounces
- C. uses radial palm grasp
- D. cruises
Correct Answer: D
Rationale: Cruising typically occurs later, around 9-10 months.
A patient, who had a hysterectomy 2 days ago, reports tenderness in her left calf. The nursing assessment reveals the following: left calf 17.5", right calf 14", left thigh 32", right thigh 28", and a shiny, warm, and reddened left leg. Which of the following interventions should be given priority in the patient's plan of care? i. Maintain bedrest ii. Encourage ambulation TID iii. Apply bilateral antiembolism v. Apply right antiembolism stockings stockings vi. Apply warm moist heat as ordered iv. Encourage bilateral leg exercises
- A. 3 and 4 c.2, 3 , 4 and 5
- B. 1, 5 and 6
- C. 1, 2, 3, 5 and 6
Correct Answer: A
Rationale: The patient's symptoms and assessment findings suggest the presence of deep vein thrombosis (DVT), which is a potential complication following surgery such as a hysterectomy. The priority interventions in this case should focus on preventing the progression of DVT and reducing the risk of pulmonary embolism.
Aling Nena, 68 years old, had a MVA and underwent surgery for hip fracture. Two days post-surgery, she suddenly complained of chest heaviness despite the absence of cardiac history. What is the nursing priority?
- A. document the onset, duration, severity, and precipitating factors
- B. may offer analgesics for chest pain
- C. administer oxygen via face mask
- D. inform the physician about the heaviness
Correct Answer: C
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UTI 118 Practice Exam II The methotrexate drug used to treat :
- A. child with thalassemia
- B. child with hemophilia
- C. child with leukemia
- D. child with sickle anemia
Correct Answer: C
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