The nurse is aware that a patient with osteomalacia who is being treated with vitamin D supplements may be at risk for which of the following?
A) Hypercalcemia
B) Hypernatremia
C) Hypermagnesemia
D) Hyperchloremia
Ans: A
Feedback: Laboratory studies show low serum calcium, low phosphorus, and elevated alkaline phosphatase levels.
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A female patient who is recovering from a stroke has begun eating a minced and pureed diet after passing the speech pathologist's swallowing assessment
This morning, the nurse set up the patient with her breakfast tray and later noticed that the woman was swallowing her food well but dribbling small amounts of food out of affected side of her mouth. How should the nurse follow up this observation? A) Provide oral suctioning after each bite that the patient swallows. B) Make the patient NPO and encourage the care provider to consider enteral nutrition. C) Remove the patient's tray because of the risk of aspiration. D) Cue the patient to the fact that she is dribbling food while commending her for eating.
The clinic nurse is assessing a child who has been brought to the clinic with signs and symptoms that are suggestive of otitis externa. What assessment finding is characteristic of otitis externa?
A) Tophi on the pinna and ear lobe B) Dark yellow cerumen in the external auditory canal C) Pain on manipulation of the auricle D) Air bubbles visible in the middle ear
The nurse is providing care to a patient who has just undergone a procedure in which epidural anesthesia was used. When the patient returned from the procedure, the nurse administered enoxaparin (Lovenox) 30 mg as ordered
Which of the following findings would warrant an im-mediate call to the prescriber if it occurred after enoxaparin administration? a. The patient's pulse oximetry reading decreases from 99% to 96%. b. The patient complains of pain at the enoxaparin injection site. c. The patient complains of numbness and tingling in the lower extremities. d. The right dorsalis pedis pulse is +3, and the left dorsalis pedis pulse is +2.
To minimize microorganisms being introduced into the surgical wound, a scrub nurse would be permitted to wear:
a. artificial nails c. unchipped nail polish b. bracelets d. rings and watches