The nurse is managing the care for a client with hyperparathyroidism, and is reviewing the client's list of prescribed and over-the-counter medications. Which medication(s) on the client's current medication record should the nurse discuss further with the healthcare provider? Select all that apply.

Lithium carbonate.

Hydrochlorothiazide.

Sodium phosphate supplement.

Calcium carbonate.

Acetaminophen.

Answer and Explanation

Correct Answer : A,B,D

A. Lithium can increase parathyroid hormone (PTH) levels, worsening hyperparathyroidism.
B. Hydrochlorothiazide can raise calcium levels, further exacerbating hypercalcemia in hyperparathyroidism.
C. Sodium phosphate supplements can lower calcium levels, which may actually help, so it does not require immediate discussion.
D. Calcium carbonate can contribute to hypercalcemia and should be used cautiously.
E. Acetaminophen is safe and does not affect calcium levels.

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Free Nursing Study Resources

Correct Answer is ["A","E","F","H"]

Explanation

A. Severe abdominal pain in the right lower quadrant: This could indicate appendicitis, a surgical emergency, or another acute abdominal condition requiring immediate intervention. The sudden onset and severe nature of pain are concerning.
B. Blood pressure 115/76 mm Hg: This is within normal limits and does not indicate immediate instability.
C. Capillary refill 2 seconds: This indicates adequate peripheral perfusion and is not an urgent concern.
D. Radial and pedal pulses 2+: Normal peripheral pulses do not require immediate follow-up.
E. Temperature 100.8° F (38.2° C): Fever suggests an inflammatory or infectious process, such as appendicitis or another intra-abdominal infection.
F. Respirations 28 breaths/minute with shallow breathing: Increased respiratory rate and shallow breathing may indicate pain-related distress or developing peritonitis, a life-threatening complication of appendicitis.
G. Feels anxious: Anxiety may be a response to pain but is not an immediate concern requiring urgent intervention.
H. Heart rate 121 beats/minute: Tachycardia could be a response to pain, infection, or developing sepsis, which requires urgent evaluation.
I. Vomiting small amounts of green bile: While bile-stained emesis can indicate an obstruction, other findings (pain, fever, tachycardia, and respiratory distress) are higher priority.

A. Measure body temperature. B. Check for pedal edema. C. Observe color of urine. D. Assess skin turgor.

Correct Answer is C

Explanation

A. While measuring body temperature is important for infection monitoring, it is not the primary concern after prasugrel administration.
B. Pedal edema is not a common side effect of prasugrel and does not directly relate to its adverse effects.
C. Prasugrel is an antiplatelet medication that increases the risk of bleeding. Monitoring for signs of bleeding, such as blood in the urine (hematuria), is important to assess for adverse effects.
D. Assessing skin turgor is important for hydration status but does not address bleeding risks associated with prasugrel.

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Naxlex Comprehensive Predictor Exams

Patient Data Exhibits Select the 4 assessment findings that require immediate follow up.

Correct Answer is ["A","E","F","H"]

Explanation

Following a cardiac catheterization and placement of a stent in the right coronary artery, the nurse administers prasugrel to the client. To monitor for adverse effects from the medication, which assessment is most important for the nurse to include in this clients plan of care?

Correct Answer is C

Explanation

The nurse is performing tracheostomy care for a client when a code blue is called for another client on the unit who experiences a cardiopulmonary arrest. Which action should the nurse take?

The nurse observes an unlicensed assistive personnel (UAP) begin to provide oral care to an unresponsive client who is at risk for aspiration as seen in the picture. Which instruction(s) should the nurse provide the UAP? Select all that apply.

A female client presents to the clinic with a fever and sore throat as well as a rash on the hands, palms, and the soles of the feet. The client reports having intercourse once with a new partner approximately 8 weeks ago. Which condition should the nurse suspect?

One year after being discharged from the burn trauma unit, a client with a history of 40% full-thickness burns is admitted with bone pain and muscle weakness. Which intervention should the nurse include in this client's plan of care?

A client with limited tolerance for activity needs to walk in the hallway with assistance. Which instruction(s) should the nurse give to the unlicensed assistive personnel (UAP) who is assisting with the client's care? Select all that apply.