The home care nurse visits a client with a diagnosis of hyperparathyroidism who is taking furosemide and provides dietary instructions to the client. Which statement by the client indicates a need for additional instruction?

"I need to increase my intake of dietary items that are high in calcium."

"I need to eat foods high in potassium."

"I need to eat small, frequent meals and snacks if nauseated."

"I need to drink at least 2 to 3 L of fluid daily."

Answer and Explanation

The Correct Answer is A

A. "I need to increase my intake of dietary items that are high in calcium.": Hyper-parathyroidism leads to elevated calcium levels in the blood due to overproduction of parathyroid hormone (PTH). Increasing calcium intake would exacerbate the condition.

B. "I need to eat foods high in potassium.": Furosemide, a diuretic, can cause potassium loss through increased urination, so it is important to increase potassium intake. Foods like bananas, oranges, and potatoes are good sources of potassium.

C. "I need to eat small, frequent meals and snacks if nauseated.": Nausea is a common symptom in hyperparathyroidism, and small, frequent meals can help prevent nausea and improve overall comfort and nutritional intake.

D. "I need to drink at least 2 to 3 L of fluid daily.": Adequate hydration is important for kidney function and to help prevent kidney stones, which are a common complication in hyperparathyroidism due to high calcium levels.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["2500"]

Explanation

Calculation:

Determine the duration of the intake period.

From 0700 to 1900 is 12 hours.

Convert all fluid intakes to milliliters (mL) using the standard conversions (1 oz = 30 mL, 1 cc = 1 mL, and 1 oz ice chips = 0.5 oz liquid).

8 oz orange juice: 8oz×30mL/oz=240mL

10 cc flush: 10cc×1mL/cc=10mL

8 oz coffee: 8oz×30mL/oz=240mL

1 oz of cream: 1oz×30mL/oz=30mL

12 oz soda: 12oz×30mL/oz=360mL

4 oz chicken broth: 4oz×30mL/oz=120mL

6 oz soda: 6oz×30mL/oz=180mL

8 oz ice chips: 8oz×0.5(conversionfactorforicechips)×30mL/oz=120mL

100 cc/hr IV infusion for 12 hours: 100cc/hr×12hr=1200mL

Sum all converted fluid intakes.

Total intake (mL) = 240+10+240+30+360+120+180+120+1200

= 2500mL

A. "Eat foods high in vitamins such as apples, pears, and oranges." B. "Wash your clothing separate from others in the household." C. "Do not share utensils, plates, and cups with anyone else." D. “You can play with your children for 1 hour each day." E. "Flush the toilet at least 3 times after each use"

Correct Answer is ["B","C","E"]

Explanation

A. "Eat foods high in vitamins such as apples, pears, and oranges.": There is no specific dietary restriction related to vitamins following radioactive iodine therapy. The primary focus should be on radiation precautions and post-treatment care, not on specific food choices.

B. "Wash your clothing separate from others in the household.": Sarah should wash her clothes separately from others to minimize exposure to radiation. Radioactive iodine can be excreted in sweat, and separation helps reduce exposure to family members.

C. "Do not share utensils, plates, and cups with anyone else.": After receiving radioactive iodine therapy, Sarah should avoid sharing utensils, plates, and cups to limit potential exposure to radioactive material. This helps reduce the risk of radiation contamination.

D. "You can play with your children for 1 hour each day.": Direct contact with others, especially children, should be minimized after radioactive iodine therapy. Sarah should avoid close contact with children and others to minimize exposure to radiation.

E. "Flush the toilet at least 3 times after each use.": To reduce radiation exposure, Sarah should flush the toilet at least three times after each use to ensure that radioactive iodine is effectively cleared from the system. This helps prevent contamination of shared bathroom areas.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The home care nurse visits a client with a diagnosis of hyperparathyroidism who is taking furosemide and provides dietary instructions to the client. Which statement by the client indicates a need for additional instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Total your intake in ml. From 0700-1900 your patient consumed 8 oz orange juice, 10 cc flush, 8 oz coffee w/ 1 oz of cream, 12 oz soda, 4 oz chicken broth, 6 oz soda. 8 oz ice chips, 100 cc/hr IV infusion.

Correct Answer is ["2500"]

Explanation

Correct Answer is ["B","C","E"]

Explanation

The nurse is discussing insulin administration with an assigned patient. The patient reports that she prefers to use only certain sites for insulin injections. The patient questions why rotation of the sites is important. What response by the nurse is most appropriate?

The nurse is teaching a client who has been prescribed propylthiouracil (PTU) for hyperthyroidism. Which statement by the client indicates an understanding of the teaching? (Select 3 options)

The physician orders a 1,800-calorie diabetic diet and 40 units of Humulin N insulin (an intermediate-acting insulin) administered subcutaneously @ 0700 for a patient with diabetes mellitus. A mid-afternoon snack of milk and crackers is given to

While assessing a client with Graves' disease, the nurse notes that the client's temperature has risen 1° F. Which action should the nurse take first?

The human insulin whose onset of action occurs within ________ minutes is Humalog (Lispro).

A nurse has provided diabetic teaching with the family of a client newly diagnosed with diabetes. The nurse determines that the family understands the reason for having glucagon on hand for emergency home use if the family indicates that the purpose of the medication is to treat

The elderly client is admitted to the intensive care department with severe Hyperglycemic-Hyperosmolar State (HHS). Which collaborative intervention should the nurse include in the plan of care?

A nurse is reinforcing teaching with a client who is scheduled for a blood test to measure her thyroid-stimulating hormone (TSH) level. Which of the following statements should the nurse give?