A 36-year-old male client is about to be discharged from the hospital after 5 days due to surgery. Which intervention should be included in the home health care nurse’s instructions about measures to prevent constipation? A. Discouraging the client from eating large amounts of roughage-containing foods in the diet. B. Encouraging the client… Read More »
Etiologies associated with hypocalcemia may include all of the following except: A. Renal failure B. Inadequate intake calcium C. Metastatic bone lesions D. Vitamin D deficiency Correct Answer: C. Metastatic bone lesions Metastatic bone lesions are associated with hypercalcemia due to accelerated bone metabolism and release of… Read More »
Mr. Wenceslao is scheduled to receive an isotonic solution; which one of the following is an example of such a solution? A. D10% W B. 0.45% saline C. 0.9% saline D. 3% normal saline W Correct Answer: C. A solution of 0.9% saline is isotonic. A solution… Read More »
Maria, an 85-year-old patient with a feeding tube, has been experiencing severe watery stool. The patient is lethargic and has poor skin turgor, a pulse of 120, and hyperactive reflexes. Nursing interventions would include: A. Measuring and recording intake and output and daily weights. B. Administering salt tablets and monitoring hypertonic parenteral solutions.… Read More »
Mr. McPartlin suffered abrasions and lacerations after a vehicular accident. He was hospitalized and was treated for a couple of weeks. When planning care for a client with cellular injury, the nurse should consider which scientific rationale? A. Nutritional needs remain unchanged for the well-nourished adult. B. Age is an insignificant factor in… Read More »
Which of the following findings would the nurse expect to assess in hypercalcemia? A. Prolonged QRS complex B. Tetany C. Petechiae D. Urinary calculi Correct Answer: D. Urinary calculi Urinary calculi may occur with hypercalcemia. Symptoms of hypercalcemia are usually seen when serum calcium levels are more… Read More »
Which of the following arterial blood gas (ABG) values indicates uncompensated metabolic alkalosis? A. pH 7.48, PaCO2 42, HCO3 30 B. pH 7.48, PaCO2 46, HCO3 30 C. pH 7.48, PaCO2 34, HCO3 20 D. pH 7.48, PaCO2 34, HCO3 26 Correct Answer: A. pH 7.48, PaCO2… Read More »
Disease of which of the following structures is most likely to affect electrolyte reabsorption? A. Glomerulus B. Renal tubules C. Bladder D. Renal pelvis Correct Answer: B. Renal tubules The renal tubules are the site of electrolyte reabsorption. From the PCT, the non-reabsorbed filtrates move on to… Read More »
A 22-year-old lady is displaying facial grimaces during her treatment in the hospital due to burn trauma. Which nursing intervention should be included for reducing pain due to cellular injury? A. Administering anti-inflammatory agents as prescribed. B. Elevating the injured area to decrease venous return to the heart. C. Keeping the skin… Read More »
Which of the following is not an appropriate nursing intervention for a patient with hypercalcemia? A. Administering calcitonin B. Administering calcium gluconate C. Administering loop diuretics D. Encouraging ambulation Correct Answer: B. Administering calcium gluconate Calcium gluconate is used for replacement in deficiency states. Calcium gluconate, gluceptate,… Read More »