What symptoms should a nurse anticipate in the history of a patient with hyperparathyroidism?
a. Fatigue, hyperactive reflexes, muscle cramps, and twitching
b. Poor muscle tone, bone pain, urinary cal-culi, and fractures
c. Hunger, thirst, and urinary retention
d. Tachycardia, air hunger, and nervousness
B
The calcium has been leeched from the bones, leading to hypercalcemia and leaving the patient with multiple problems such as a risk for fractures, urinary calculi, and bone pain.
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The nurse is obtaining physician orders which include a pulse pressure. The nurse is most correct to report which of the following?
A) The difference between an apical and radial pulse B) The difference between an upper extremity and lower extremity blood pressure C) The difference between the systolic and diastolic pressure D) The difference between the arterial and venous blood pressure
In order for a nurse working at a community health clinic to appropriately plan care, he knows that which of the following populations is most at risk for pneumonia?
A) A preschool-age child B) A 72-year-old African American man with diabetes C) A 70-year-old Caucasian man D) A 30-year-old woman
The nurse is to perform a complete assessment of a client in her home, using the Mini-Mental State Examination as one component
When the nurse arrives, the client is seated at the table with her husband, the TV is on, and sev-eral grandchildren are visiting. The client's husband says, "Let's get on with this business." The client is quiet, but her hands are gripped tightly, and she is staring at the ceiling. The best action for the nurse to take would be to: 1. Explain to the husband that accurate data will be sought, and ask him to stay with the grandchildren in another room 2. Explain the importance of the testing process and make an appointment for an-other day when the environment can be better controlled 3. Not perform the test during the assessment (because it will not be valid) and rely on observations and reports from the family 4. Ask the husband to make an appointment to bring his wife to the clinic for testing
Clara is a perioperative nurse. She is monitoring the blood glucose level of Harold, a 56-year-old patient without diabetes who is undergoing orthopedic surgery. What is the main rationale for monitoring his blood glucose level during surgery?
A. She does not want Harold to develop type 2 diabetes. B. Research shows a strong relationship between wound infections and hyperglycemia. C. She knows that normal glucose levels promote good tissue oxygenation. D. She is monitoring to prevent hypoglycemia.