Chapter 8 NCLEX PN

The nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which prescribed medication would the nurse plan to assist in administering to the client? 1. Calcitonin 2. Calcium chloride 3. Calcium gluconate 4. Large doses of vitamin D

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The nurse reviews the client's serum calcium level and notes that the level is 8.0 mg/dL. The nurse understands that which condition would cause this serum calcium level? 1. Prolonged bed rest 2. Adrenal insufficiency 3. Hyperparathyroidism 4. Excessive ingestion of vitamin D

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Magnesium normal value

1.8-2.6 mEq/L

Sodium normal value

135-145 mEq/L

The nurse is instructing a client on how to decrease the intake of calcium in the diet. The nurse would tell the client that which food item is least likely to contain calcium? 1. Milk 2. Butter 3. Spinach 4. Collard greens

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The nurse is reviewing the health records of assigned clients. The nurse would plan care knowing that which client is at risk for fluid volume deficit? 1. The client with cirrhosis 2. The client with ileostomy 3. The client with heart failure 4. The client with decreased renal function

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The nurse review a client's electrolyte results and notes a potassium level of 5.5 mEq/L. The nurse understands that a potassium value at this level would be noted with which condition? 1. Diarrhea 2. Traumatic burn 3. Cushing's syndrome 4. Overuse of laxatives

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The nurse caring for a client with renal failure notes that the client is dyspneic and crackles are heard when listening to breath sounds in the lungs. Which additional sign/symptom would the nurse expect to note in this client? 1. Rapid weight loss. 2. Flat hand and neck veins 3. A weak and thready pulse 4. An increase in blood pressure

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The nurse is caring for a client who has been taking diuretics on a long-term basis. Which finding would the nurse expect to note as a result of this long-term use? 1. Gurgling respirations 2. Increased blood pressure 3. Decreased hematocrit LEVEL 4. Increased specific gravity of the urine

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The nurse is caring for a client with a suspected diagnosis of hypercalcemia. Which sign/symptom would be an indication of this electrolyte imbalance? 1. Twitching 2. Positive trousseau's sign 3. Hyperactive bowel sounds 4. Generalized muscle weakness

4

The nurse is caring for a client with leukemia and notes that the client has poor skin turgor and flat neck and hand veins. The nurse suspects hyponatremia. Which sign/symptom would the nurse expect to note in this client if hyponatremia is present? 1. Intense thirst 2. slow bounding pulse 3. dry mucous membranes 4, Postural blood pressure changes

4

The nurse is reading the primary health care provider's progress notes in the client's record and sees that the PHCP has documented "insensible fluid loss approximately 800 mL daily." Which client is at risk for this loss? 1. The client with a draining wound. 2. The client with a urinary catheter. 3. The client with a fast respiratory rate. The client with a nasogastric tube to low suction.

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The nurse is reviewing the health records of assigned clients. The nurse would plan care knowing that which client is at risk for a potassium deficit? 1. The client with Addison's disease 2. The client with metabolic acidosis 3. The client with intestinal obstruction 4. The client receiving nasogastric suction

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The nurse is reviewing the health records of assigned clients. The nurse would plan care knowing that which client is at the least likely risk for the development of third-spacing? 1. Th client with sepsis 2. The client with cirrhosis 3. The client with kidney failure 4. The client with diabetes mellitus

4

The nurse reviews a client's electrolyte results and notes that the potassium level is 5.4 mEq/L. What would the nurse look for on the cardiac monitor as a result of this laboratory value? 1. ST elevation 2. Peaked P waves 3. Prominent U waves 4. Narrow, peaked T waves

4

The nurse reviews electrolyte values and notes sodium level of 130 mEq/L. The nurse expects that this sodium level would be noted in a client with which condition? 1. The client with watery diarrhea. 2. The client with diabetes insipidus 3. The client with an inadequate daily water intake 4. The client with the syndrome of inappropriate secretion of antidiuretic hormone

4

Potassium normal value

3.5-5.0 mEq/L

Calcium normal value

8.5-10.5 mg/dL

Thue nurse is caring for a client with a diagnosis of hyperparathyroidism. Laboratory studies are performed and the serum calcium level is 12.0 mg/dL. Based on this laboratory value, the nurse would take which action? 1. Document the value in the client's record. 2. Inform the registered nurse of the laboratory value. 3. Place the laboratory results form in the client's record 4. Reassure the client that the laboratory results is normal.

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