Nokea
The nurse is caring for a patient who is receiving calcium gluconate for treatment of hypoparathyroid tetany. Which assessment would indicate an adverse reaction to the drug?
- A. Increase in heart rate
- B. Flushing of face and neck
- C. Drop in blood pressure
- D. Urticaria
Correct Answer: C
Rationale: Indications of an adverse effect of calcium gluconate are serious cardiac dysrhythmias, and hypotension.
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A patient has undergone tests that indicate a deficiency of the parathyroid hormone secretion. The nurse will inform the patient of which potential complication?
- A. Osteoporosis
- B. Lethargy
- C. Laryngeal spasms
- D. Kidney stones
Correct Answer: C
Rationale: Decreased parathyroid hormone levels in the bloodstream cause a decreased calcium level. Severe hypocalcemia may result in laryngeal spasm, stridor, cyanosis, and increased possibility of asphyxia.
A 27-year-old patient with hypothyroidism is referred to the dietitian for dietary consultation. The nurse will reinforce instructions for which nutritional interventions?
- A. Frequent small meals high in carbohydrates
- B. Calorie-restricted meals
- C. Caffeine-rich beverages
- D. Fluid restrictions
Correct Answer: B
Rationale: A high-protein, high-fiber, lower calorie diet is given.
When the nurse inflates the sphygmomanometer cuff exceeding the systolic blood pressure and observes a carpal spasm, this is a(n) ___ sign.
Correct Answer: Trousseau
Rationale: Trousseau's sign is a carpal spasm brought on by pressure of a cuff. This is an indicator for hypocalcemia and hypomagnesemia.
The nurse should observe the patient for which major life-threatening complication postoperatively of a thyroidectomy?
- A. Hemorrhaging
- B. Seizures
- C. Tetany
- D. Hypoglycemia
- E. Thyroid crisis (storm)
- F. SIADH
Correct Answer: A,C,E
Rationale: The nurse must be alert for signs of internal or external bleeding. In addition to hemorrhage, two significant postoperative complications exist after thyroidectomy. The first is tetany. The second is thyroid crisis. Manipulation of the thyroid during surgery may cause the release of large amounts of thyroid hormones into the bloodstream, creating a thyroid crisis (storm).
The nurse expects to see which intervention in the plan of care for a patient who has recently been diagnosed with acromegaly?
- A. Encourage fluids
- B. Maintain leg joints in flexion
- C. Assist with activities of daily living
- D. Monitor for episodes of bleeding into the joints
Correct Answer: C
Rationale: Nursing interventions are mainly supportive. The presence of muscle weakness, joint pain, or stiffness warrants assisting with activities of daily living.