The nurse is assisting in the care of a client with pheochromocytoma who has been experiencing clinical manifestations of hypermagnesemia

When evaluating the client, the nurse determines that the client's status is returning to normal if he no longer exhibits which of the following? 1. Tetany
2. Tremors
3. Areflexia
4. Muscular excitability


3

Rationale: Signs of hypermagnesemia include neurological depression, drowsiness and lethargy, loss of deep tendon reflexes (areflexia), respiratory paralysis, and loss of consciousness. Tetany, muscular excitability, and tremors are seen with hypomagnesemia.

Nursing

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During a skin assessment, the nurse notices that a Mexican-American patient has skin that is yellowish-brown; however, the skin on the hard and soft palate is pink and the patient's scleras are not yellow. From this finding, the nurse could probably rule

out: a. Pallor b. Jaundice c. Cyanosis d. Iron deficiency

Nursing

The nurse has identified the diagnosis of Ineffective Coping for a client with severe premenstrual syndrome. What should be included in this client's plan of care?

A) Encourage frequent rest periods. B) Suggest 4 ounces of wine each day. C) Encourage exercise and relaxation techniques. D) Instruct to avoid contraception during menstruation if engaging in sexual intercourse.

Nursing

The primary reason for restricting intake during labor is that

a. a full stomach can interfere with pushing during the second stage b. solid foods tend to cause nausea c. the client's appetite can be expected to be poor d. the digestive process is normally slowed

Nursing

The PHN realizes that the mere presence of an agent, even if it is known to have toxic properties, does not necessarily mean there is a risk to health. However, the three routes of entry for chemical exposure include all of the following, except

A. Ingestion B. Inhalation C. Dermal absorption D. IV

Nursing