While tapping the facial nerve on the right side of a client's face, the nurse notes twitching on the same side. This assessment finding may indicate which electrolyte imbalance?
1. Hypomagnesemia
2. Hyponatremia
3. Hyperkalemia
4. Hypercalcemia
ANS: 1
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The nurse should assess for which of the following potential complications in a postoperative patient with permanent pacemaker implantation?
A) Decreased urinary output B) Bleeding at the generator implantation site C) Decreased respiratory rate D) Decreased pulse rate
Which condition is a complication of mumps in the adolescent or adult?
a. Cystitis b. Epididymitis c. Orchitis d. Paraphimosis
The client is scheduled to have a magnetic resonance imaging test of the CNS. What nursing intervention is most appropriate in preparation for this procedure?
A. Ensure that the person does not eat for 6 to 8 hours before the procedure. B. Discontinue all neuroactive medications and foods 3 to 4 hours before the proce-dure. C. Be sure that the client has a client identifier that cannot be removed. D. Replace the gown with metal snaps with one that has cloth ties.
In explaining to a patient who is being dismissed from the hospital that he has a clean-contaminated wound, the nurse states:
1. "Although the wound is an incision, it was grossly contaminated during surgery, so it is important to notify your physician if the drainage increases." 2. "Your incision seems to be developing a purulent drainage. Make sure that you notify your doctor if you notice that the drainage develops a foul smell." 3. "Your drainage cultured a high number of microorganisms, but since we've seen no evidence of infection and you are taking an antibiotic, you probably don't need to worry about it." 4. "Surgical wounds are exposed to normal flora that resides on the skin. It is important to observe it for signs of infection, such as drainage that turns yellow or green."