A patient who has is hospitalized with hyperkalemia. Which information will the nurse monitor to evaluate the effectiveness of the acute glomerulonephritis prescribed calcium gluconate IV?

Calcium level

Neurologic status

Cardiac rhythm

Urine volume

Answer and Explanation

The Correct Answer is C

Choice A rationale
Monitoring calcium levels is important after administering calcium gluconate IV, but it is not the primary indicator of the medication's effectiveness in treating hyperkalemia. Calcium gluconate is used in hyperkalemia to stabilize the heart muscle, not to correct calcium levels.

Choice B rationale
Neurologic status may be affected by hyperkalemia, but changes in neurologic status are not the most direct measure of calcium gluconate's effectiveness. The medication's primary role is to address cardiac risks associated with high potassium levels.

Choice C rationale
Cardiac rhythm is the most critical aspect to monitor after administering calcium gluconate for hyperkalemia. Hyperkalemia can cause life-threatening cardiac dysrhythmias, and calcium gluconate works by stabilizing the cardiac membrane, thus the effectiveness of the treatment is directly reflected in the stabilization of the cardiac rhythm.

Choice D rationale
While urine volume can indicate kidney function and might indirectly reflect changes in potassium levels, it is not the direct measure of calcium gluconate's effectiveness in the emergency treatment of hyperkalemia.

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Correct Answer is A

Explanation

Choice A rationale
Liver cirrhosis is the most common cause of esophageal varices and portal hypertension. Cirrhosis leads to scarring of the liver, which impedes blood flow through the portal vein, causing increased pressure (portal hypertension) and the development of collateral blood vessels (varices) as the body attempts to bypass the blockage.

Choice B rationale
Throat lacerations are not related to the development of esophageal varices or portal hypertension. They are typically acute injuries and do not cause the chronic changes seen in the vasculature associated with these conditions.

Choice C rationale
Kyphosis, a curvature of the spine, does not cause esophageal varices or portal hypertension. It is a structural skeletal condition and does not affect the vasculature of the esophagus or the portal venous system.

Choice D rationale
While squamous cell cancer can occur in the esophagus, it is not a typical cause of portal hypertension or esophageal varices. These varices are usually a result of increased pressure in the portal vein, not directly from a malignancy.

A. Immobility B. High calcium intake C. Oral contraceptive use D. BMI of 20 E. Hypertension

Correct Answer is ["A","C","E"]

Explanation

Choice A rationale
Immobility is a significant risk factor for DVT as it can lead to stagnation of blood in the veins, increasing the risk of clot formation.

Choice B rationale
High calcium intake is not typically associated with an increased risk of DVT. Instead, factors like immobility, certain medications, and medical conditions are more influential.

Choice C rationale
Oral contraceptive use, especially those containing estrogen, can increase the risk of DVT due to their effect on blood clotting mechanisms.

Choice D rationale
A BMI of 20 is considered within the normal range and is not a risk factor for DVT. Obesity, which is a BMI of 30 or higher, would be a risk factor.

Choice E rationale
Hypertension itself is not a direct risk factor for DVT. However, it can be associated with other health conditions that may increase the risk of thrombosis.

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A patient who has is hospitalized with hyperkalemia. Which information will the nurse monitor to evaluate the effectiveness of the acute glomerulonephritis prescribed calcium gluconate IV?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is admitted with esophageal varices and portal hypertension. Which underlying cause of these conditions would the nurse suspect?

Correct Answer is A

Explanation

A nurse is giving a presentation about preventing deep vein thrombosis (DVT). Which of the following should the nurse include as risk factors for this disorder? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

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