A nurse is caring for a client who is terminally ill. Which of the following findings should the nurse identify as an indication that palliative care should be recommended?

Constipation

Serum albumin 52 g/dL 135105 g/dL) Serum

Apnea alternating with hyperventilation

Peripheral edema

Answer and Explanation

The Correct Answer is C

A. Constipation is a common symptom in many conditions and can usually be managed with routine interventions; it is not by itself an indication for palliative care.
B. A serum albumin level of 52 g/dL is within or slightly above the normal range (typically 35–50 g/dL) and does not indicate deterioration requiring palliative care.
C. Apnea alternating with hyperventilation (Cheyne-Stokes respirations) is a sign of impending death and serious neurologic or systemic decline. This is a strong indication that palliative or end-of-life care is appropriate.
D. Peripheral edema can result from many chronic conditions like heart or kidney failure and is not by itself a reason to initiate palliative care.

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Correct Answer is C

Explanation

A. Potassium level is within normal range but is not directly related to hypoparathyroidism treatment effectiveness.
B. Sodium level is normal but also not related to hypoparathyroidism management.
C. Calcium 9.6 mg/dL is within the normal range and indicates that the treatment for hypoparathyroidism (which often involves calcium supplementation) is effective in maintaining appropriate calcium levels.
D. Glucose level is normal but unrelated to hypoparathyroidism treatment outcomes.

A. CT scan with contrast B. Magnetic resonance imaging (MRI) of the abdomen C. Kidney ureter, bladder (KUB) radiograph D. Renal ultrasound

Correct Answer is A

Explanation

A. A CT scan with contrast uses iodinated contrast dye, which can be nephrotoxic and worsen kidney function. This prescription should be questioned or done with caution in clients with reduced kidney function.
B. MRI of the abdomen typically uses gadolinium-based contrast, which is generally safer but still used cautiously; however, MRI without contrast is often safe.
C. A KUB radiograph is an X-ray without contrast and is safe for clients with kidney impairment.
D. A renal ultrasound is a non-invasive, contrast-free diagnostic tool and is safe for clients with reduced kidney function.

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A nurse is caring for a client who is terminally ill. Which of the following findings should the nurse identify as an indication that palliative care should be recommended?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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