A patient, recovering from surgery to the parathyroid glands, is currently experiencing numbness and tingling around the mouth with an increase in irritability
Which of the following assessment findings would most likely cause the nurse concern? 1. hyperactive bowel sounds
2. diarrhea
3. high-pitched tinkling bowel sounds with abdominal pain
4. decreased creatinine and BUN levels
3
Rationale: This patient may be experiencing symptoms of hypocalcemia related to manipulation of the parathyroid glands. Hypocalcemia is a risk factor for the development of an acute paralytic ileus. High-pitched tinkling bowel sounds and abdominal pain indicate that an acute paralytic ileus has developed. Hyperactive bowel sounds and diarrhea are non-specific and could have many other etiologies. Decreasing BUN and creatinine levels are more of an indicator of renal function.
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1. several wars. 2. the Depression. 3. congressional actions. 4. popular books and movies.
A 30-year-old client arrives at the healthcare facility with complaints of losing weight despite eating voraciously. She feels unusually hot. Her menstruation has also ceased. The physician has advised a radioactive iodine uptake test
Which of the following information should be provided to the client before performing a radioactive iodine uptake test? A) Inform the client about the side effects of radiation. B) Encourage reduction of the amount of iodized salt in food. C) Instruct the client to take the test after a regular breakfast. D) Ask the client to avoid eating ocean shellfish 1 week before the test.
The nurse is assessing a client prior to the administration of a diuretic. The nurse knows it is essential to assess which vital signs at this time?
Standard Text: Select all that apply. 1. Temperature 2. Pulse 3. Respirations 4. Blood pressure 5. Pain
The 80-year-old man complains that when he goes to bed and cannot fall asleep, he tosses and turns and gets so frustrated that he gets up and drinks coffee all night. The nurse suggests that when he hasn't fallen asleep after 30 minutes, he should:
a. take two tablets of a sedative medication. b. get up and do a mild stretching exercise for 15 minutes. c. remain in bed with his eyes closed. d. get up and read until he feels sleepy and then return to bed.