A client with acute renal failure is aware that the most serious complication of this condition is:
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Solution
Infection
Option C: Infection is responsible for one-third of the traumatic or surgically induced death of clients with renal failure as well as medical induced acute renal failure (ARF)
A client has been diagnosed with glomerulonephritis complains of thirst. The nurse should offer:
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Solution
Hard candy
Option D: Hard candy will relieve thirst and increase carbohydrates but does not supply extra fluid.
Dr. Marquez is about to defibrillate a client in ventricular fibrillation and says in a loud voice “clear”. What should be the action of the nurse?
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Solution
Steps away from the bed and make sure all others have done the same
Option D: For the safety of all personnel, if the defibrillator paddles are being discharged, all personnel must stand back and be clear of all the contact with the client or the client’s bed.
A client has undergone an ileal conduit, the nurse in charge should closely monitor the client for occurrence of which of the following complications related to pelvic surgery?
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Solution
Thrombophlebitis
Option B: After a pelvic surgery, there is an increased chance of thrombophlebitis owing to the pelvic manipulation that can interfere with circulation and promote venous stasis.
A 58-year-old woman has newly diagnosed with hypothyroidism. The nurse is aware that the signs and symptoms of hypothyroidism include:
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Solution
Weight gain
Option D: Typical signs of hypothyroidism include weight gain, fatigue, decreased energy, apathy, brittle nails, dry skin, cold intolerance, constipation, and numbness.
A client is suspected to develop tetany after a subtotal thyroidectomy. Which of the following symptoms might indicate tetany?
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Solution
Tingling in the fingers
Option A: Tetany may occur after thyroidectomy if the parathyroid glands are accidentally injured or removed.
A female client has acute pancreatitis. Which of the following signs and symptoms would the nurse expect to see?
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Solution
Jaundice
Option D: Jaundice may be present in acute pancreatitis owing to obstruction of the biliary duct.
Nurse KC should regularly assess the client’s ability to metabolize the total parenteral nutrition (TPN) solution adequately by monitoring the client for which of the following signs:
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Solution
Hyperglycemia
Option A: During Total Parenteral Nutrition (TPN) administration, the client should be monitored regularly for hyperglycemia.
Kate which has diagnosed with ulcerative colitis is following physician’s order for bed rest with bathroom privileges. What is the rationale for this activity restriction?
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Solution
Reduce intestinal peristalsis
Option C: The rationale for activity restriction is to help reduce the hypermotility of the colon.
During the initial postoperative period of the client’s stoma. The nurse evaluates which of the following observations should be reported immediately to the physician?
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Solution
Stoma is dark red to purple
Option A: Dark red to purple stoma indicates inadequate blood supply.