Which is the priority nursing problem for a client with hypoparathyroidism?

Risk for injury.

Deficient knowledge.

Anxiety.

Imbalanced nutrition.

Answer and Explanation

The Correct Answer is A

A.   Hypoparathyroidism can lead to hypocalcemia, which increases the risk of tetany and seizures, making the risk for injury the highest priority.
B.   Deficient knowledge is important to address but is secondary to immediate physiological risks.
C.   Anxiety may be present but is not as critical as the risk for injury due to hypocalcemia.
D.   Imbalanced nutrition should be managed but is not the immediate priority compared to the risk for injury.

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Correct Answer is ["B","H"]

Explanation

A. Not a priority compared to monitoring vital signs and ensuring adequate oxygenation.

B: Increased oxygen flow is necessary to manage the client's respiratory distress and history of smoking. Correct Answer: 3 L, not 1 L as initially listed.
C: Acetaminophen 350 mg PO q4h for temperature greater than 101 F (38.3°C): Important for fever management but not the first priority in acute respiratory distress.
D: Helps maintain hydration but is secondary to respiratory support in this scenario.

E: Not applicable as there is no immediate need for surgery or risk of aspiration currently indicated.
F: Important for medication administration and fluid balance but follows after ensuring respiratory function.
G: Useful for diagnosing the cause of respiratory symptoms but not a first-line action.

H: Essential for continuously assessing the client's respiratory and cardiac status due to difficulty breathing.

A. Ensure that the restraints are snug against the client's wrists. B. Ensure that the knot can be quickly released. C. Tie the knot with a double turn or square knot. D. Move the ties so the restraints are secured to the side rails.

Correct Answer is B

Explanation

A. Restraints should be secure but not too tight to prevent injury or impaired circulation.
B. Ensuring the knot can be quickly released is critical for the client's safety in case of emergency.
C. A double turn or square knot would make the restraint difficult to remove quickly, posing a safety risk.
D. Restraints should never be tied to side rails as this can cause injury if the rails are moved.

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Which is the priority nursing problem for a client with hypoparathyroidism?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","H"]

Explanation

Before leaving the room of a client who is confused, the nurse observes that a half bow knot was used to attach the client's wrist restraints to the movable portion of the client's bed frame. Which action should the nurse take before leaving the room?

Correct Answer is B

Explanation

A nurse is assisting with a routine physical examination of an adolescent. The provider observes a lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders?

Exhibits Nursing actions: Indicated/contraindicated/non-urgent

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