The nurse's assessment of a client with thyroidectomy suggests tetany and a review of the most recent blood work corroborates this finding. The nurse should prepare to administer what intervention?

Oral calcium chloride and vitamin D

IV calcium gluconate

STAT levothyroxine

Administration of parathyroid hormone (PTH)

Answer and Explanation

The Correct Answer is B

A. Oral calcium is too slow for acute tetany treatment.
B. IV calcium gluconate is the treatment of choice for acute tetany caused by hypocalcemia, which can occur after thyroidectomy due to parathyroid gland injury or removal.
C. Levothyroxine treats hypothyroidism, not hypocalcemic tetany.
D. PTH administration is not commonly used acutely and is less accessible in emergency settings.

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Correct Answer is B

Explanation

A. Respiratory acidosis results from hypoventilation, which causes CO₂ retention, not hyperventilation.
B. Respiratory alkalosis occurs when excessive breathing (hyperventilation) leads to excessive loss of CO₂, increasing blood pH — the most common acid-base imbalance in anxiety-induced hyperventilation.
C. Increased PaCO₂ is seen in respiratory acidosis, not during hyperventilation, where CO₂ levels drop.
D. Metabolic acidosis is unrelated to respiratory patterns and is caused by increased acid production or loss of bicarbonate (e.g., in kidney failure or diarrhea).

A. Laparoscopic cholecystectomy poses fewer surgical risks than an open procedure. B. Laparoscopic cholecystectomy can be performed in a clinic setting, while an open procedure requires an OR. C. A laparoscopic approach allows for the removal of the entire gallbladder. D. A laparoscopic approach can be performed under conscious sedation.

Correct Answer is A

Explanation

A. Laparoscopic cholecystectomy is less invasive, associated with fewer complications, shorter hospital stays, reduced postoperative pain, and quicker recovery — making it the preferred method.
B. It is not typically performed in a clinic setting; both laparoscopic and open procedures are done in an operating room.
C. Both procedures remove the entire gallbladder; the difference lies in the surgical approach, not the extent of removal.
D. General anesthesia is required for laparoscopic cholecystectomy, not conscious sedation.

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The nurse's assessment of a client with thyroidectomy suggests tetany and a review of the most recent blood work corroborates this finding. The nurse should prepare to administer what intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A triage nurse is in the emergency room assessing a patient with a longstanding diagnosis of generalized anxiety disorder. The nurse notes upon assessment the client is hyperventilating. The triage nurse is aware that hyperventilation is the most common cause of which acid-base imbalance?

Correct Answer is B

Explanation

A nurse is caring for a client with a cholelithiasis who has been scheduled for a laparoscopic cholecystectomy. Why is laparoscopic cholecystectomy preferred by surgeons over an open procedure?

Correct Answer is A

Explanation

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