Marie Joy’s lab test revealed that her serum calcium is 2.5 mEq/L. Which assessment data does the nurse document when a client diagnosed with hypocalcemia develops a carpopedal spasm after the blood-pressure cuff is inflated? A. Positive Trousseau’s sign B. Positive Chvostek’s sign C. Tetany D. Paresthesia … Read More »
Normal venous blood pH ranges from: A. 6.8 to 7.2 B. 7.31 to 7.41 C. 7.35 to 7.45 D. 7.0 to 8.0 Correct Answer: B. 7.31 to 7.41 Normal venous blood pH ranges from 7.31 to 7.41. Normal arterial blood pH ranges from 7.35 to 7.45. Blood… Read More »
Which of the following diagnoses is most appropriate for a patient with hypocalcemia? A. Constipation, bowel B. High risk for injury: bleeding C. Airway clearance, ineffective D. High risk for injury: confusion Correct Answer: B. High risk for injury: bleeding A patient with hypocalcemia may bleed, since… Read More »
Which of the following nursing diagnoses might apply to a patient with hypertonic FVE? A. Ineffective airway clearance B. Potential for decreased cardiac output C. Ineffective breathing pattern D. Potential for increased cardiac output Correct Answer: B. Potential for decreased cardiac output Potential for decreased cardiac output… Read More »
A 12-year-old boy was admitted to the hospital two days ago due to hyperthermia. His attending nurse, Dennis, is quite unsure about his plan of care. Which of the following nursing interventions should be included in the care plan for the client? A. Room temperature reduction B. Fluid restriction of 2,000 ml/day … Read More »
Which of the following conditions is associated with elevated serum chloride levels? A. Cystitis B. Diabetes C. Eclampsia D. Hypertension Correct Answer: C. Eclampsia Eclampsia is associated with increased levels of serum chloride. Metabolic alkalosis is uncommon in pregnancy and is most often the result of severe… Read More »
When assessing a patient’s total body water percentage, the nurse is aware that all of the following factors influence this except: A. Age B. Fat tissue C. Muscle mass D. Gender Correct Answer: D. Gender A patient’s gender does not influence the percentage of total body water.… Read More »
Mr. Miyazaki, who is diagnosed with bipolar disorder has been drinking copious amounts of water and voiding frequently. The patient is experiencing muscle cramps, twitching, and is reporting dizziness. the nurse checks lab work for: A. Complete blood count results, particularly the platelets. B. Electrolytes, particularly the serum sodium. C. Urine analysis,… Read More »
Lab tests revealed that patient Z’s [Na+] is 170 mEq/L. Which clinical manifestation would nurse Natty expect to assess? A. Tented skin turgor and thirst B. Muscle twitching and tetany C. Fruity breath and Kussmaul’s respirations D. Muscle weakness and paresthesia Correct Answer: A. Tented skin turgor… Read More »
Respiratory regulation of acids and bases involves: A. Hydrogen B. Hydroxide C. Oxygen D. Carbon dioxide Correct Answer: D. Carbon dioxide Respiratory regulation of acid-base balance involves the elimination or retention of carbon dioxide. Arterial blood gas interpretation is best approached systematically. Interpretation leads to an understanding… Read More »