A patient with hyperparathyroidism would have what symptoms? (Mark all that apply.)
A) Hypotension
B) Diarrhea
C) Cardiac dysrhythmias
D) Irritability
E) Apathy
Ans: C, D, E
Feedback: Psychological effects may vary from irritability and neurosis to psychoses caused by the direct action of calcium on the brain and nervous system. An increase in calcium produces a decrease in the excitation potential of nerve and muscle tissue.
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When evaluating the success of the nursing care plan, the nurse remembers that evaluation is: Standard Text: Select all that apply
1. Planned and ongoing. 2. Done collaboratively with the healthcare professional and the client. 3. Performed to determine the client's progress toward goal achievement. 4. Performed to determine the effectiveness of the nursing care plan. 5. Performed verbally.
The nurse is conducting a teaching session about pain with older adults at a senior center. Which client statement indicates that further teaching is required?
1. "I tend to accept chronic pain and underreport pain to the physician." 2. "I don't report my pain because I do not want to be addicted." 3. "I often take over-the-counter medications for pain." 4. "As I get older, my perception of pain will decrease."
What is the rationale for wrapping petroleum gauze around a chest tube insertion site?
1) Prevents air from leaking around the site 2) Prevents infection at the insertion site 3) Absorbs drainage from the insertion site 4) Protects the tube from becoming dislodged
The nurse cares for a patient with advanced cancer who has been on a stable dose of opioids for 3 months. The patient complains of a sudden exacerbation of pain. The nurse's best response is:
1. "We need to increase your opioid dose. You have likely developed tolerance to the medication." 2. "I will reassess you in 6 hours to determine whether the pain has lessened or if there are any changes." 3. "Cancer pain frequently waxes and wanes. No new interventions are needed at this point." 4. "We need to evaluate you for other reasons the pain could have suddenly increased."