The nurse is assessing a female patient who has an abnormally high level of parathyroid hormone
Which assessment findings would be consistent with this diagnosis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Muscle weakness
2. Hypercalcemia
3. Diarrhea
4. Weight gain
5. Hypotension
1,2
Rationale 1: Muscle weakness is a neuromuscular effect of hyperparathyroidism.
Rationale 2: Increased resorption of calcium by the kidneys results in hypercalcemia.
Rationale 3: Constipation is a more common effect of hyperparathyroidism.
Rationale 4: Weight loss is a more common effect of hyperparathyroidism.
Rationale 5: Hypertension is a more common effect of hyperparathyroidism.
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The nurse would be alert to assess for signs of lithium toxicity in a patient with which of the following lithium levels?
1. 1.5 mEq/l 2. 0.1 mEq/l 3. 0.5 mEq/l 4. 1.0 mEq/l
The nurse is assessing the client's abdomen and notes dullness when percussing over the left lower quadrant. Which question is most appropriate for the nurse to ask the client at this time?
1. "How much alcohol do you drink?" 2. "Do you have pain after eating?" 3. "When was your last bowel movement?" 4. "Have you ever had splenomegaly?"
Two related and important trends in the elderly population are:
A) The growing gap in life expectancy between males and females and the number of women living alone B) The increase in life expectancy of white and black people. C) The continued burden of acute disease and the low levels of education among the elderly D) The increased burden of chronic illness and the shifting causes of death with advancing age
To protect against one of the adverse effects of using sodium hypochlorite for wound care the nurse should:
a. cleanse the wound with iodine prior to packing with sodium hypochlorite. b. monitor serum electrolyte level and hemoglobin and hematocrit levels. c. apply petroleum jelly to the skin around the wound. d. monitor for CNS symptoms