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The nurse is caring for a patient with stage IV metastatic breast cancer, who has metastasis to the bone.
During assessment, the patient appears severely weak, fatigued, confused, and continually repeats "I'm so thirsty!” What will the nurse implement in the patient's plan of care?

Notify the provider that the patient is exhibiting signs of hypercalcemia and draw blood to obtain ionized calcium level.

Notify the provider that the patient is exhibiting signs of tumor lysis syndrome and draw blood to obtain uric acid level.

Notify the provider that the patient is exhibiting signs of infection and request an order for blood cultures.

Notify the provider that the patient is exhibiting signs of bleeding and request an order for a packed red blood cell transfusion.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Hypercalcemia is common in patients with bone metastasis. Symptoms include weakness, fatigue, confusion, and excessive thirst. The nurse should notify the provider and draw blood to obtain the ionized calcium level for proper diagnosis and treatment.

Choice B rationale

Tumor lysis syndrome typically occurs in patients with rapidly proliferating tumors undergoing treatment, leading to the release of intracellular contents. Symptoms include hyperuricemia, not excessive thirst. This choice does not match the patient's presentation.

Choice C rationale

While infection can cause weakness and confusion, it does not typically cause extreme thirst. The patient's symptoms are more indicative of hypercalcemia, making this choice less relevant.

Choice D rationale

Bleeding can cause weakness and confusion due to anemia, but it does not cause extreme thirst. The symptoms of the patient are more aligned with hypercalcemia than bleeding.

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Correct Answer is D

Explanation

Choice A rationale

Estrogen replacement therapy can have various effects on the body but does not significantly impact thyroid diagnostic tests. This information is still relevant for the patient's overall medical care but not directly related to thyroid testing results.

Choice B rationale

Lactose sensitivity is important for dietary considerations but does not affect thyroid diagnostic tests. Documenting dietary restrictions is important for patient care but does not impact the specific diagnostic tests for thyroid function.

Choice C rationale

Anti-seizure medications can affect thyroid function tests, particularly those that affect the metabolism of thyroid hormones. However, the consumption of iodine-rich foods like kelp or seaweed has a more direct and significant impact on thyroid function and diagnostic testing.

Choice D rationale

Frequent consumption of kelp or seaweed, which are high in iodine, can influence thyroid function tests by altering thyroid hormone levels. This dietary habit should be documented and communicated to ensure accurate interpretation of thyroid function test results. .

A. I should consume less than 1 liter of fluid per day. B. I should use my treadmill or go for walks daily. C. I should follow a moderate-calcium, high fiber diet. D. My alendronate helps keep calcium from coming out of my bones.

Correct Answer is A

Explanation

Choice A rationale

Patients with hyperparathyroidism should maintain adequate hydration to help prevent kidney stones and other complications related to high calcium levels. Consuming less than 1 liter of fluid per day is insufficient and can lead to dehydration and increased calcium concentration in the blood, exacerbating the condition.

Choice B rationale

Regular physical activity, such as using a treadmill or walking, is beneficial for patients with hyperparathyroidism. Exercise helps to improve overall health, maintain bone density, and reduce the risk of complications associated with hypercalcemia.

Choice C rationale

A moderate-calcium, high-fiber diet is recommended for managing hyperparathyroidism. Adequate dietary fiber aids in digestion and helps prevent constipation, which is a common symptom of hypercalcemia. Moderating calcium intake is important to manage the condition.

Choice D rationale

Alendronate is a bisphosphonate medication that helps to prevent bone resorption and reduce calcium release into the bloodstream. It is an effective treatment for managing hyperparathyroidism and helps to maintain bone health. .

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The nurse is caring for a patient with stage IV metastatic breast cancer, who has metastasis to the bone.During assessment, the patient appears severely weak, fatigued, confused, and continually repeats "I'm so thirsty!” What will the nurse implement in the patient's plan of care?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient who is scheduled for thyroid diagnostic testing.Which information, that may affect the test results, should be documented on the patient's electronic medical record (EMR) and communicated to the personnel conducting the test?

Correct Answer is D

Explanation

The nurse is teaching a patient with hyperparathyroidism how to manage the condition at home.Which response by the patient indicates the need for additional teaching?

Correct Answer is A

Explanation

The nurse is caring for a patient with hypothyroidism who is prescribed levothyroxine.Which assessment data indicates to the nurse that the medication has been effective?

The nurse is caring for a patient who is admitted to a surgical unit after a thyroidectomy.The nurse takes and maintains the inflated blood pressure cuff on the patient and observes a carpopedal spasm.What does this result indicate to the nurse?

The nurse is planning the care of a patient with hyperthyroidism.What should the nurse specify in the patient's meal plan?

The nurse is evaluating a patient with hyperthyroidism who is taking propylthiouracil (PTU) 100 mg/day for maintenance therapy.Which statement from the patient indicates the medication therapy is effective?

The nurse is caring for a patient who has a new prescription for levothyroxine.The nurse will include in the teaching plan that levothyroxine decreases the action of which medication?

The nurse on the oncology unit is caring for a patient receiving chemotherapy for treatment of leukemia.Which patient finding is the nurse's priority for implementing interventions?

The nurse is caring for a patient with stage IV metastatic breast cancer, who has metastasis to the bone.During assessment, the patient appears severely weak, fatigued, confused, and continually repeats "I'm so thirsty!” What will the nurse implement in the patient's plan of care?

The nurse is caring for a patient with stage IV metastatic breast cancer, who has metastasis to the bone.
During assessment, the patient appears severely weak, fatigued, confused, and continually repeats "I'm so thirsty!” What will the nurse implement in the patient's plan of care?