A nurse is caring for a client who has hypoparathyroidism. Which of the following findings should indicate to the nurse that the treatment is effective?
Calcium 9.6 mg/dL (9 to 10.5 mg/dL)
Glucose 96 (74 to 106 mg/dL)
Potassium 4.3 mEq/L (3.5 to 5 mEq/L)
Sodium 142 mEq/L (136 to 145 mEq/L)
The Correct Answer is A
A. Calcium 9.6 mg/dL (9 to 10.5 mg/dL): Treatment involves calcium and vitamin D supplementation to restore normal calcium levels. A calcium level of 9.6 mg/dL is within the normal range, indicating that the treatment is effective in correcting the calcium deficiency.
B. Glucose 96 mg/dL (74 to 106 mg/dL): Blood glucose is not directly related to the management of hypoparathyroidism. The glucose level being within normal range does not provide information about the effectiveness of treatment for hypoparathyroidism.
C. Potassium 4.3 mEq/L (3.5 to 5 mEq/L): Potassium levels are not directly affected by hypoparathyroidism. This value is within the normal range but does not indicate the effectiveness of treatment for hypoparathyroidism specifically.
D. Sodium 142 mEq/L (136 to 145 mEq/L): Sodium levels are not typically influenced by hypoparathyroidism or its treatment. This value is within normal range but does not indicate the effectiveness of treatment for hypoparathyroidism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Ensure the door to the client's room remains open: The door should be kept closed to minimize exposure to radiation. Keeping the door open increases the risk of radiation exposure to others in the area.
B. Wear sterile gloves during patient care: Sterile gloves are not required for care during internal radiation therapy unless there is direct contact with bodily fluids or radioactive materials. Standard precautions are sufficient.
C. Wear a lead apron when providing client care: A lead apron is recommended for healthcare workers to protect themselves from radiation exposure during internal radiation therapy. The lead apron absorbs radiation and helps reduce the risk of harmful exposure.
D. Place a dosimeter on the client's gown: The dosimeter is typically worn by healthcare workers to measure radiation exposure, not the client. The client would not wear a dosimeter in this situation.
Correct Answer is C
Explanation
A. Temperature 38.7° C (101.7° F): A temperature of 38.7° C (101.7° F) is elevated and may indicate an infection or inflammation, which is not expected after an EGD. A mild fever could occur briefly, but temperatures above 100.4° F should be monitored closely.
B. Heart rate 110/min: A heart rate of 110/min is elevated and may suggest tachycardia due to pain, anxiety, or potential complications. An elevated heart rate should be assessed further, as it is not typical during the recovery phase of an EGD procedure.
C. Respiratory rate 14/min: A respiratory rate of 14/min is within the normal range for an adult (12-20/min), indicating that the client is breathing comfortably and is recovering well from the procedure. This is an expected finding post-procedure.
D. SpO2 92%: An SpO2 level of 92% is slightly low. The normal range for oxygen saturation is typically 95-100%, and a reading of 92% may indicate mild hypoxemia, which should be further evaluated, especially if the client is recovering from sedation.
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