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Management of hypercalcemia includes all of the following actions except administration of:
- A. Fluid to dilute the calcium levels
- B. The diuretic furosemide (Lasix), without saline, to increase calcium excretion through kidneys
- C. Inorganic phosphate salts
- D. Intravenous phosphate therapy
Correct Answer: B
Rationale: While furosemide can increase calcium excretion through the kidneys, it may also exacerbate volume depletion and potentially lead to further increase in serum calcium levels. Therefore, administration of furosemide without proper saline or fluid replacement should be avoided in the management of hypercalcemia. The other options mentioned, such as giving fluids to dilute calcium levels, using inorganic phosphate salts, and providing intravenous phosphate therapy, are all appropriate measures in treating hypercalcemia.
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- A. Increased total serum complement levels
- B. An above-normal anti-deoxyribonucleic
- C. Negative antinuclear antibody test acid
- D. Negative lupus erythematosus cell test
Correct Answer: B
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Which best describes the electrolyte imbalance in chronic renal failure (CRF)?
- A. Decreased serum phosphorus and calcium levels.
- B. Calcium and phosphorus are drawn from the bones due to hypocalcemia.
- C. Calcium remains in the bones due to structural change.
- D. Poor nutrition causes overall electrolyte depletion.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
After being in remission from Hodgkin's disease for 18 months, a client develops a fever of unknown origin. The physician orders a blind liver biopsy to rule out advancing Hodgkin'sdisease and infection. Twenty-four hours after the biopsy, the client has a fever, complains of severe abdominal pain, and seems increasingly confused. The nurse suspects that these finding result from:
- A. Bleeding in the liver caused by the liver biopsy.
- B. Perforation of the colon caused by the liver biopsy.
- C. An allergic reaction to the contrast media used during liver biopsy.
- D. Normal post procedural pain, with a change in the level of consciousness resulting from the preexisting fever.
Correct Answer: A
Rationale: The symptoms of fever, severe abdominal pain, and increasing confusion following a liver biopsy are indicative of a potential complication such as bleeding in the liver caused by the biopsy. Hepatic bleeding can lead to abdominal pain and can cause a change in the level of consciousness. These symptoms should prompt immediate medical attention to address the bleeding and prevent further complications. Perforation of the colon, an allergic reaction to contrast media, or normal post-procedural pain would not typically present with these specific symptoms in this context.
A parent of an infant with gastroesophageal reflux is being taught by a nurse. Which of the following instructions should the nurse include in the teaching?
- A. Offer the infant feedings every 2 hours.
- B. Position the infant upright after feedings.
- C. Feed the infant thickened formula.
- D. Place the infant in a prone position after feedings.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
All the following are true associations between psychiatric illness in childhood and their treatment EXCEPT:
- A. ADHD and atomoxetine
- B. Anxiety and antidepressant
- C. Psychosis and typical antipsychotic
- D. Depression and atypical antipsychotic
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.