Nokea
The nurse is assessing a client with suspected hypoparathyroidism. Which of the following findings would the nurse expect?
- A. Muscle cramps and tetany.
- B. Weight gain and lethargy.
- C. Hypertension and tachycardia.
- D. Increased bone density.
Correct Answer: A
Rationale: muscle cramps and tetany are signs of hypoparathyroidism due to hypocalcemia
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The physician has ordered a culture for the client with suspected gonorrhea. The nurse should obtain a culture of:
- A. Blood
- B. Nasopharyngeal secretions
- C. Stool
- D. Genital secretions
Correct Answer: D
Rationale: Gonorrhea is diagnosed by culturing genital secretions.
A nurse notes that clients of one surgeon have developed at least twice as many infections as clients of other surgeons on the unit. Which of the following is the most appropriate action?
- A. Report the physician to the hospital administration.
- B. Ask the physician why his rate of infections is so high.
- C. Report the observations to the infection control nurse.
- D. Say nothing as infection rates vary from time to time.
Correct Answer: C
Rationale: Reporting to the infection control nurse (C) initiates investigation and intervention. Reporting to administration (A) or confronting the physician (B) is premature, and ignoring the issue (D) is unsafe.
The nurse is supervising the staff providing care for an 18-month-old hospitalized with hepatitis A. The nurse determines that the staff’s care is appropriate if which of the following is observed?
- A. The child is placed in a private room.
- B. The staff removes a toy from the child’s bed and takes it to the nurse’s station.
- C. The staff offers the child french fries and a vanilla milkshake for a midafternoon snack.
- D. The staff uses standard precautions.
Correct Answer: A
Rationale: contact precautions required for diapered or incontinent clients
A 19-year-old male has been experiencing vomiting and diarrhea for 3 days due to food poisoning. The nurse expects a urine specific gravity of
- A. 0.850.
- B. 1.005.
- C. 1.020.
- D. 1.041.
Correct Answer: D
Rationale: Dehydration from vomiting and diarrhea increases urine specific gravity (normal 1.005-1.030). 1.041 indicates concentrated urine due to fluid loss.
A burn client begins treatments with silver sulfadiazine (Silvadene) applied to the wounds. The nurse should carefully monitor for which adverse affect associated with this drug?
- A. Hypokalemia
- B. Leukopenia
- C. Hyponatremia
- D. Thrombocytopenia
Correct Answer: B
Rationale: Silver sulfadiazine can cause leukopenia as an adverse effect, requiring monitoring of white blood cell counts to detect potential bone marrow suppression.