Nokea
If a client’s parathyroid glands were accidentally removed during a procedure, which condition should the nurse prepare for?
- A. Hypomagnesemia
- B. Hyperkalemia
- C. Hypernatremia
- D. Hypocalcemia
Correct Answer: D
Rationale: Parathyroid glands regulate calcium levels. Their removal leads to hypocalcemia due to decreased parathyroid hormone production.
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What type of infectious agent may the client have been exposed to if they recently ate meat in Europe?
- A. Fungi
- B. Bacteria
- C. Protozoa
- D. Prions
Correct Answer: D
Rationale: The correct answer is D because prions are associated with certain meat-borne diseases, such as Creutzfeldt-Jakob disease.
Tom reports abdominal pain that started over the periumbilical area and moved to the right lower quadrant area. Tom probably has
- A. Crohn's disease.
- B. Cholecystitis.
- C. Appendicitis.
- D. Diverticulitis.
Correct Answer: C
Rationale: Appendicitis typically presents with migrating pain from the periumbilical area to the right lower quadrant.
What type of contamination is the nurse trying to eliminate when he or she requests people to remove all garments before entering a house or shelter?
- A. Internal radiologic contamination
- B. External vesicant contamination
- C. External radioactive contamination
- D. Cross-contamination
Correct Answer: C
Rationale: The correct answer is C because removing contaminated clothing reduces external radioactive exposure.
When reviewing the provider's orders, a nurse recognizes that clarification is needed for which of the following medications in a client experiencing an exacerbation of asthma?
- A. Propranolol
- B. Theophylline
- C. Montelukast
- D. Prednisone
Correct Answer: A
Rationale: The correct answer is A: Propranolol. Propranolol is a beta-blocker that can exacerbate asthma symptoms by causing bronchoconstriction. This medication is contraindicated in patients with asthma. The other choices (B: Theophylline, C: Montelukast, D: Prednisone) are commonly used in the management of asthma exacerbations and do not typically require clarification in this context. Theophylline is a bronchodilator, Montelukast is a leukotriene receptor antagonist, and Prednisone is a corticosteroid used for its anti-inflammatory effects in asthma.
What condition should the nurse anticipate that might occur during epidural and spinal anesthesia?
- A. Spinal headache
- B. Hypotension and bradycardia
- C. Loss of consciousness and seizures
- D. Downward extension of nerve block
Correct Answer: B
Rationale: Epidural and spinal anesthesia commonly cause hypotension and bradycardia due to sympathetic blockade.