Nokea
The client with hyperparathyroidism will exhibit signs of:
- A. Hypokalemia
- B. Hyponatremia
- C. Hypercalcemia
- D. Hyperphosphatemia
Correct Answer: C
Rationale: Hyperparathyroidism increases parathyroid hormone, causing hypercalcemia by mobilizing calcium from bones and increasing absorption. Hypokalemia , hyponatremia , and hyperphosphatemia are not typically associated.
You may also like to solve these questions
The nurse enters an infant's room and observes that the infant is responsive but is choking and turning blue. Which of the following actions should the nurse take?
- A. Initiate CPR
- B. Perform abdominal thrusts.
- C. Initiate back slaps and chest thrusts.
- D. Perform a blind sweep of the infant's mouth.
Correct Answer: C
Rationale: Back slaps and chest thrusts (C) are the appropriate intervention for a choking infant. CPR (A) is for cardiac arrest, abdominal thrusts (B) are for older children, and blind sweeps (D) are dangerous.
Diphenoxylate hydrochloride with atropine sulfate (Lomotil) is prescribed for a client. The nurse knows that the drug is prescribed for which of these problems the client has?
- A. Diarrhea
- B. Hypertension
- C. Depression
- D. Tachycardia
Correct Answer: A
Rationale: Lomotil is an antidiarrheal, slowing intestinal motility to reduce diarrhea.
The nurse is caring for a client who has congestive heart failure. Which finding indicates that her condition is getting worse?
- A. An increase in urine output
- B. A decrease in blood pressure
- C. A decrease in heart rate
- D. Warm, moist skin
Correct Answer: B
Rationale: A decrease in blood pressure suggests worsening cardiac output in congestive heart failure, indicating decompensation.
Which finding by the nurse suggests that the mother is not giving the toddler iron supplements as ordered?
- A. The child has pale skin.
- B. There is light brown stool in the diaper.
- C. The child takes a nap every day.
- D. The child has ecchymotic areas on her legs.
Correct Answer: B
Rationale: Iron supplements typically cause dark or black stools; light brown stools suggest non-compliance with iron supplementation.
A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidyl glycerol is noted. The nurse's assessment of this data is:
- A. The infant is at low risk for congenital anomalies.
- B. The infant is at high risk for intrauterine growth retardation.
- C. The infant is at high risk for respiratory distress syndrome.
- D. The infant is at high risk for birth trauma.
Correct Answer: C
Rationale: An L/S ratio of 1:1 and presence of phosphatidyl glycerol suggest immature lungs, indicating a high risk for respiratory distress syndrome, so C is correct. Answers A, B, and D are not directly related to these findings.