A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?

Intention tremors

Hyperpigmentation

Purple striations

Hirsutism

Answer and Explanation

The Correct Answer is B

A.   Intention tremors are not typically associated with Addison's disease.
B.   Hyperpigmentation, particularly in sun-exposed areas and pressure points, is a characteristic finding in Addison's disease due to increased melanocyte-stimulating hormone (MSH) production.
C.   Purple striations are typically associated with Cushing's syndrome, not Addison's disease.
D.   Hirsutism (excessive hair growth) is not a common manifestation of Addison's disease. It is more associated with Cushing’s disease.

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Correct Answer is C

Explanation

A. Insulin administration is not indicated for metabolic alkalosis.
B. Breathing into a paper bag is a treatment for respiratory alkalosis, not metabolic alkalosis.
C. Metabolic alkalosis can lead to cardiac dysrhythmias due to electrolyte imbalances, particularly hypokalemia. Continuous cardiac monitoring is essential to promptly identify and manage any dysrhythmias that may occur.
D. Administering sodium bicarbonate would exacerbate metabolic alkalosis and is not indicated.

A. Eat 12 oz of animal protein daily. B. Restrict calcium intake to one serving per day. C. Take 3,000 mg of vitamin C daily. D. Drink 3L of fluid every day.

Correct Answer is D

Explanation

A. Consuming excessive animal protein can increase the risk of kidney stones due to the metabolism of protein leading to increased excretion of calcium and oxalate.
B. Restricting calcium intake is not recommended for preventing calcium oxalate kidney stones. Adequate calcium intake from dietary sources can actually help prevent kidney stone formation by binding to oxalate in the intestines and reducing its absorption.
C. High doses of vitamin C can increase oxalate levels in the urine, which can contribute to the formation of calcium oxalate kidney stones.
D. Adequate fluid intake, typically recommended at least 3 liters (about 100 ounces) per day, helps dilute urine and reduce the concentration of stone-forming substances, thereby reducing the risk of kidney stone formation.

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A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has metabolic alkalosis. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is providing dietary teaching to a client who has a history of recurring calcium oxalate kidney stones. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical manifestations should the nurse monitor? (Select all that apply.)

A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. Which of the following prescriptions should the nurse anticipate?

A nurse is reviewing the medical records of four clients who have an acid-base imbalance. The nurse should recognize that which of the following clients is at risk for metabolic acidosis?

A nurse is caring for a client who has respiratory alkalosis and is hyperventilating Which of the following actions should the nurse take?

A nurse is providing teaching to a client who has renal failure and an elevated phosphorous level. The provider instructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of the following adverse effects should the nurse inform the client?

A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?

A nurse is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect?