The client has a chronic condition in which the kidney overexcretes calcium. What clinical manifestation should the nurse observe for as a result of this problem?
A. Hypertension
B. Dependent edema
C. Increased bleeding tendency
D. Decreased deep tendon reflexes
C
A major role of calcium is to serve as a cofactor in the blood-clotting cascade. Over-excretion of calcium leads to hypocalcemia. People who have lower than normal serum calcium levels require a longer time to form blood clots and have a somewhat prolonged clotting time (depends on de-gree of calcium deficiency).
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The correctional nurse was completing an admission physical for a newly incarcerated prisoner. The nurse realized the prisoner was talking to someone other than the nurse. Which of the following does the nurse need to remember?
a. Cell phones, including those with ear phones, are commonplace among everyone. b. It is common for persons to talk to themselves or think out loud. c. Prisons have become the residence for a very large number of persons who have mental illnesses. d. Prisoners get very lonely and often talk to mirrors or inanimate objects.
The nurse is caring for a patient experiencing acute Addisonian crisis. Which laboratory data would the nurse expect to find?
A) Hyperkalemia B) Reduced blood urea nitrogen (BUN) C) Hypernatremia D) Hyperglycemia
Assessing the implementation potential of a nursing innovation includes which of the following activities?
A) Determining the clinical relevance of the innovation B) Assessing its costs and benefits C) Evaluating the scientific merits of relevant studies D) All of the above
The client diagnosed with endometriosis asks the nurse to explain what it is. The nurse provides the following explanation:
A) "It is inflammation of the inside of your uterus." B) "It is a condition in which the tissue found inside the uterus grows outside the uterus." C) "It is an infection of the tissue that connects your intestines." D) "It is inflammation of the outside lining of your uterus."