The client with hypercalcemia from advanced cancer is being treated with intravenous mithramycin. Which clinical manifestation indicates to the nurse that the treatment is effec-tive?
A. Bowel sounds are present and active in all four quadrants.
B. The client's serum sodium level is 138 mmol/L.
C. The pulse rate is 68 and bounding.
D. Urine output has increased.
A
Hypercalcemia reduces excitable membrane activity, causing decreased intestinal motility. A re-turn of intestinal motility is an indication that the serum calcium levels are decreasing.
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The nurse is caring for a 28-year-old nonsmoker with a deficiency in the enzyme antitrypsin. To what deficiency does this predispose the young patient?
A) Pulmonary edema B) Development of lobular emphysema C) Cystic fibrosis D) Empyema
A 53-year-old woman complains of night sweats and mood swings. The nurse recognizes that these symptoms most likely relate to which condition?
a. Menopause b. Weight problems c. Dietary problems d. Thyroid problems
Following a cardiothoracic surgery, where controlled therapeutic hypothermia was utilized to decrease metabolic demands,
the nurse responsible for recovering this patient should be assessing for which of the following potential complications to cold cardioplegia? A) Development of a first-degree AV block B) Vasoconstriction resulting in weak pedal pulses, requiring the use of a Doppler C) Frequent premature ventricular contractions (PVCs) on the telemetry monitor D) Cyanosis in lower extremities with no blanching in the toes
An older adult client is informed that it is no longer safe for the client to drive at night due to the development of night blindness
Which client statement prompts the nurse to plan a family care conference for the client? A) "I will limit my driving to daytime hours." B) "I guess I'll get help when I need to go out at night." C) "In the summer, I will be able to drive longer." D) "I expected this to happen eventually, but I think I still see okay at night."