A client has had diagnostic laboratory testing that confirms the diagnosis of metastatic bone cancer. The nurse prepares to explain the implications of:

1. A decrease in parathyroid hormone (PTH) levels.
2. An increase in thyroid-stimulating hormone (TSH).
3. An absence of testosterone.
4. The presence of cortisol.


A decrease in parathyroid hormone (PTH) levels.

Rationale: A decrease in parathyroid hormone (PTH) levels is reflective of the presence of metastatic bone cancer. The remaining hormones are not evaluated for diagnosis of metastatic bone cancer.

Nursing

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A collaborative problem in caring for patients with COPD includes the potential for respiratory failure. An important indicator on an arterial blood gas (ABG) analysis that respiratory failure is occurring includes which of the following?

A) O2 saturation of 95% B) pH of 7.36 C) HCO3 of 24 mEq/L D) PaCO2 of 70 mm Hg

Nursing

A woman has just received the news that her husband died. She approaches the nurse who cared for

him during his last hours and says angrily "If you had given him your undivided attention instead of running off to care for others, he would still be alive.". The nurse's response should consider that a. the client is warning staff of a malpractice suit. b. anger is a phenomenon that is experienced during grieving. c. the client had ambivalent feelings about her husband. d. in some cultures, grief is expressed solely through anger.

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Which bacteria can cause an upper respiratory infection with serious sequelae such as rheumatic fever?

a. pneumococci b. staph aureus c. E.coli d. Group A beta-hemolytic streptococci

Nursing

Which is the priority assessment in the client experiencing regurgitation?

A. Auscultation for crackles B. Inspection of the oral cavity C. Palpation of the cervical lymph nodes D. Culture of the throat for bacterial infection

Nursing