The client has received several units of citrated blood very quickly. The nurse notes that the client now has hyperreflexia. What electrolyte disturbance is the client most likely to be experiencing?
1. Hypokalemia 3. Hypermagnesemia
2. Hypocalcemia 4. Hyperphosphatemia
ANS: 2
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Liver span is measured to examine the liver's
a. shrinkage. c. enlargement. b. relocation. d. capacity.
A client with suspected osteomalacia has a fractured tibia and fibula. What test would give a definitive diagnosis of osteomalacia?
A) A bone biopsy B) Demineralization of the bone C) Increased and decreased areas of bone metabolism D) Elevated levels of alkaline phosphatase
An infant girl is preterm and on a respirator with intravenous lines and much equipment around her when her parents come to visit for the first time. It is important for the nurse to
a. Suggest that the parents visit for only a short time to reduce their anxieties. b. Reassure the parents that the baby is progressing well. c. Encourage the parents to touch her. d. Discuss the care they will give her when she goes home.
A nurse is caring for a terminally ill client whose death is imminent. The nurse has developed a close relationship with the family. Which of the following is the most appropriate intervention?
A) Encourage family discussions of feelings. B) Make decisions for the family in difficult situations. C) Remain with the family but maintain silence. D) Tell the family to leave the client alone.