Which of the following are common assessment findings in a client with panhypopituitarism? (Select All that Apply.)

hypernatremia and hypertension

hypotension and tachycardia

increased bone density due to decreases in growth hormone

hypoglycemia due to decreased ACT and cortisol

decreased ability to cope with stress secondary to decreased cortisol -

hyperkalemia secondary to decreased aldosterone

Answer and Explanation

Correct Answer : B,D,E,F

A. Hypernatremia and hypertension is incorrect. In panhypopituitarism, adrenal insufficiency from decreased ACTH results in hyponatremia and hypotension, not hypernatremia and hypertension.
B. Hypotension and tachycardia is correct. Due to decreased ACTH, there is reduced cortisol and aldosterone, leading to low blood pressure and compensatory tachycardia.
C. Increased bone density due to decreases in growth hormone is incorrect. Growth hormone deficiency actually results in decreased bone density, not increased. GH plays a critical role in bone growth and maintenance.
D. Hypoglycemia due to decreased ACTH and cortisol is correct. Without sufficient cortisol, glucose regulation is impaired, increasing the risk of hypoglycemia.
E. Decreased ability to cope with stress secondary to decreased cortisol is correct. Cortisol is essential for the stress response, and its deficiency leads to poor tolerance to physical and emotional stress.
F. Hyperkalemia secondary to decreased aldosterone is correct. Low ACTH leads to adrenal insufficiency, which can reduce aldosterone production, causing sodium loss and potassium retention (hyperkalemia).

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Correct Answer is ["D","E","H"]

Explanation

A. Encouraging the use of calcium supplements is incorrect. Clients with hyperparathyroidism often have elevated calcium levels, so increasing calcium intake can worsen hypercalcemia and increase the risk of kidney stones.
B. Encouraging the consumption of oxalate-rich foods is incorrect. Oxalate-rich foods, such as spinach, beets, and nuts, can increase the risk of calcium oxalate stones, especially in individuals with hyperparathyroidism. Therefore, oxalate-rich foods should be avoided.
C. Encouraging a low-calcium diet is incorrect. Although high calcium intake can worsen hypercalcemia, a low-calcium diet is not typically recommended. Instead, the focus should be on maintaining balanced calcium levels, as calcium is still important for overall health.
D. Administer oral phosphates as ordered is correct. Phosphates can help lower calcium levels in the blood by binding to calcium and reducing its absorption, which can help prevent kidney stone formation.
E. Increase fluids and fiber is correct. Increased fluid intake helps dilute urine, reducing the risk of stone formation. Additionally, fiber can promote overall digestive health, which can be helpful for preventing kidney stones.
F. Administer furosemide as ordered is incorrect. Furosemide, a diuretic, increases urine output but does not prevent kidney stones. It may actually increase the risk by causing dehydration, which promotes stone formation.
G. Administer calcium chelators is incorrect. Calcium chelators are not typically used in the prevention of kidney stones caused by hyperparathyroidism, and their use could interfere with necessary calcium levels in the body.
H. Encouraging increased fluid intake is correct. Adequate fluid intake is essential in preventing kidney stones, as it helps dilute urine and reduces the concentration of calcium and other stone-forming substances.

Correct Answer is ["0.14"]

Explanation

Step 1: Identify the known values

Dose ordered = 2 mcg/kg/day
Frequency = every 12 hours → 2 doses per day
Weight = 7 kg
Concentration available = 0.05 mg/mL

Step 2: Calculate total daily dose in mcg
2 mcg × 7 kg = 14 mcg/day

Step 3: Divide daily dose by 2 to get per dose
14 mcg ÷ 2 = 7 mcg per dose

Step 4: Convert mcg to mg
7 mcg = 0.007 mg

Step 5: Use concentration to calculate mL per dose
0.007 mg ÷ 0.05 mg/mL = 0.14 mL

Answer: 0.14 mL

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Which of the following are common assessment findings in a client with panhypopituitarism? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with hyperparathyroidism is at risk for developing kidney stones. Which nursing interventions are appropriate for preventing kidney stone formation in this client?(Select All that Apply.)

Correct Answer is ["D","E","H"]

Explanation

Correct Answer is ["0.14"]

Explanation

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