A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain?

Hepatitis

Renal stones

Hip fracture

Pancreatitis

Answer and Explanation

The Correct Answer is B

A. Hepatitis is not a known adverse effect of calcium supplementation.
B. Renal stones (kidney stones) are a potential adverse effect of excessive calcium intake, and flank pain is a common symptom of kidney stones.
C. Hip fractures are a concern with osteoporosis but not an adverse effect of calcium supplementation.
D. Pancreatitis is not a known adverse effect of calcium supplementation.

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Correct Answer is C

Explanation

A. Prophylactic antibiotics are not routinely given solely because of hemophilia A. They may be indicated based on the client's overall health and the procedure.
B. Packed RBCs are not typically needed for wisdom teeth extractions in clients with hemophilia A, as these procedures do not usually cause significant blood loss.
C. Recombinant factor VIII is the specific treatment for hemophilia A and is administered prior to procedures to prevent bleeding.
D. Fresh frozen plasma contains clotting factors but is not the treatment of choice for hemophilia A. Recombinant factor VIII is preferred due to its specific action and lower risk of complications.

A. Lactated Ringer's B. 3% sodium chloride C. 0.9% sodium chloride D. Dextrose 10% in water

Correct Answer is D

Explanation

A. Lactated Ringer's does not provide the necessary glucose to prevent hypoglycemia in clients receiving TPN.
B. 3% sodium chloride is hypertonic and not appropriate for preventing hypoglycemia.
C. 0.9% sodium chloride does not provide the necessary glucose.
D. Dextrose 10% in water (D10W) provides a glucose source to help prevent hypoglycemia in clients when TPN is temporarily unavailable.

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A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products?

Correct Answer is C

Explanation

Correct Answer is D

Explanation

A nurse is preparing to administer 0.45% sodium chloride (NaCl) 1000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)

A nurse is assessing a client before administering a unit of packed RBCs. The nurse should identify which of the following data as most important to obtain prior to the infusion?

A nurse is assessing a client who has acute cocaine toxicity. Which of the following findings should the nurse expect? (Select all that apply.)

A nurse is caring for a client who ingested a poison and is now experiencing a seizure. Which of the following is the priority action the nurse should take?

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A nurse is in a client's room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first?