The nurse is reinforcing teaching provided to a patient with gallstones. What substance should the nurse instruct that makes up most gallstones?
a. Sodium
b. Calcium
c. Cholesterol
d. Phosphorus
ANS: C
Cholelithiasis is the presence of stones in the gallbladder. These stones are most often composed primarily of cholesterol. B. Pigment stones appear to be composed of calcium bilirubinate, which occurs when free bilirubin combines with calcium; however, this is not the most frequent substance. A. D. Sodium and phosphorus are not primary components of gallstones.
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A patient with hypothyroidism begins taking PO levothyroxine [Synthroid]. The nurse assesses the patient at the beginning of the shift and notes a heart rate of 62 beats per minute and a tem-perature of 97.2°F
The patient is lethargic and difficult to arouse. The nurse will contact the provider to request an order for which drug? a. Beta blocker b. Increased dose of PO levothyroxine c. Intravenous levothyroxine d. Methimazole [Tapazole]
When performing a capillary puncture, the nurse should
a. hold the lancet at a 45 degree angle to the skin b. puncture the skin 5 mm deep c. wipe off the first drop of blood with a sterile gauze d. apply heat to the puncture site
A nurse is percussing the thorax of a patient with chronic emphysema. What percussion sound would most likely be assessed?
A) resonance B) hyperresonance C) flat D) tympany
A patient admitted to the hospital with pneumonia has IV antibiotics ordered. He receives the first dose with no problem, but during the second dose, he begins to complain of shortness of breath and difficulty breathing
The nurse notes wheezes throughout the lung fields. The nurse documents these symptoms as which of the following? a. Idiosyncratic reaction b. Toxic effect of the antibiotic c. Side effect of the medication d. Anaphylactic reaction