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. Provide a low-residue diet: A low-residue diet is not directly related to managing thrombocytopenia. The priority for clients with thrombocytopenia is preventing bleeding, so dietary recommendations should focus on avoiding foods that can cause injury or irritation.
B. Administer a rectal suppository: Rectal suppositories should be avoided in clients with thrombocytopenia because they can cause trauma to the rectal mucosa and lead to bleeding due to the low platelet count.
C. Instruct the client to use a soft-bristled toothbrush: A soft-bristled toothbrush is important for clients with thrombocytopenia to prevent gum injury and bleeding. It minimizes the risk of oral bleeding while maintaining good oral hygiene.
D. Encourage the client to use a safety razor when shaving: A safety razor should not be recommended for clients with thrombocytopenia because it can cause cuts and bleeding. An electric razor is a safer alternative to minimize the risk of injury.
Correct Answer is D
Explanation
A. A client who had an appendectomy and has a urine output of 260 mL over 8 hr: A urine output of 260 mL over 8 hours is average (around 32.5 mL/hr), and it does not require immediate intervention. It is important to monitor, but there is no acute concern at this time.
B. A client who is immobile and has had an episode of urinary incontinence: While urinary incontinence can lead to skin breakdown and other issues, it is not immediately life-threatening. The nurse should address it with appropriate interventions, but it is not urgent.
C. A client who has COPD and an oxygen saturation of 99%: An oxygen saturation of 99% in a client with COPD is within normal limits. This indicates that the client’s respiratory status is stable and does not require immediate intervention.
D. A client who has a concussion and has developed aphasia: Aphasia after a concussion can indicate a serious complication, such as increased intracranial pressure or a brain injury. This requires immediate intervention to assess the severity of the condition and prevent further neurological damage.
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