A nurse notes in the client's health history a diagnosis of hepatitis B. Which of the following activities would most likely put the client at risk for this illness?

Worked for a month in an undeveloped area in Mexico four months ago

Attended an ecological conference in a large metropolitan area a month ago

Assisted in the emergency birth of a baby two weeks ago

Had a small tattoo on the arm three months ago

Answer and Explanation

The Correct Answer is D

Choice A reason: Working in undeveloped areas increases general infection risk, but hepatitis B specifically requires blood or fluid exposure, less likely without direct contact.

Choice B reason: Attending a conference poses low hepatitis B risk, as it’s not spread by casual contact, requiring blood or sexual transmission, not typical here.

Choice C reason: Assisting in birth involves fluid exposure, but two weeks is too short for hepatitis B symptoms; incubation is 45-180 days, so unlikely.

Choice D reason: Tattooing with unsterile needles risks hepatitis B via bloodborne transmission, matching the 90-day incubation period, the most likely risk here.

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Correct Answer is ["B"]

Explanation

Choice A reason: Calcium carbonate supplements increase serum calcium by providing exogenous calcium, worsening hyperparathyroidism’s already elevated levels from excessive PTH-driven bone resorption and gut absorption.

Choice B reason: A low calcium diet reduces intake, limiting absorption, while high fiber binds calcium in the gut, enhancing fecal excretion, countering PTH’s hypercalcemic effect in hyperparathyroidism.

Choice C reason: Parathyroidectomy removes overactive glands, directly stopping excessive PTH production, which drives calcium release from bones and reabsorption in kidneys, effectively normalizing calcium levels.

Choice D reason: Furosemide, a loop diuretic, increases renal calcium excretion by inhibiting reabsorption in the loop of Henle, reducing serum calcium elevated by PTH in hyperparathyroidism.

Choice E reason: Fluid restriction raises calcium concentration by reducing dilution, worsening hypercalcemia in hyperparathyroidism, where PTH already increases calcium reabsorption, making this counterproductive.

A. When your pain is controlled and your serum amylase level decreases B. When you have active bowel sounds and are passing flatus C. As soon as you start to feel hungry you can begin eating D. Oral intake can be started when you are more active

Correct Answer is B

Explanation

Choice A reason: Pain control and lower amylase help, but resuming eating depends on gut function (bowel sounds, flatus), not just lab or pain status.

Choice B reason: Active bowel sounds and flatus indicate gut recovery post-pancreatitis, signaling readiness for oral intake, the most accurate marker for feeding resumption.

Choice C reason: Hunger isn’t a reliable indicator; eating too soon risks pancreatitis worsening if the gut isn’t ready, despite pain or amylase levels.

Choice D reason: Activity level doesn’t assess gut function; eating hinges on bowel recovery (sounds, flatus), not mobility, making this less precise.

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A nurse notes in the client's health history a diagnosis of hepatitis B. Which of the following activities would most likely put the client at risk for this illness?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with hyperparathyroidism. Which of the following orders from the healthcare provider can be expected to reduce the client's overproduction of calcium? (Select all that apply)

Correct Answer is ["B"]

Explanation

The nurse is caring for a client who is recovering from acute pancreatitis. The client asks the nurse when they can begin eating again. Which response by the nurse is most accurate?

Correct Answer is B

Explanation

A client is scheduled to receive peritoneal dialysis. Which of the following is the highest priority action that the nurse should perform before starting dialysis?

Which electrolyte will be high in a client with hypoparathyroidism?

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