Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is teaching a client who has a new diagnosis of hyperparathyroidism. The nurse should include in the teaching that the client is at risk for which of the following complications?
A. Pathologic fractures
Hyperparathyroidism can lead to bone resorption and weakening, putting the client at risk for fractures.
B. Impaired skin integrity
This is not directly associated with hyperparathyroidism.
C. Fluid retention
Hyperparathyroidism typically leads to hypercalcemia, which can result in polyuria and dehydration rather than fluid retention.
D. Dysphagia
This is not directly associated with hyperparathyroidism.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Med Surg Proctored Exam 8. Take the full exam now
Full Explanation
A. Hyperparathyroidism can lead to bone resorption and weakening, putting the client at risk for fractures.
B. This is not directly associated with hyperparathyroidism.
C. Hyperparathyroidism typically leads to hypercalcemia, which can result in polyuria and dehydration rather than fluid retention.
D. This is not directly associated with hyperparathyroidism.
Similar Questions
A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?
A. "It is caused by the lack of production of insulin by the pancreas.."
This statement describes the cause of diabetes mellitus, not Addison's disease.
B. "It is caused by the overproduction of growth hormone by the pituitary gland."
This statement describes the cause of acromegaly, not Addison's disease.
C. "It is caused by the overproduction of parathormone by the parathyroid gland."
This statement describes the cause of hyperparathyroidism, not Addison's disease.
D. "It is caused by the lack of production of aldosterone by the adrenal gland."
This is the correct explanation of the cause of Addison's disease, which involves adrenal insufficiency.
Full Explanation
A. This statement describes the cause of diabetes mellitus, not Addison's disease.
B. This statement describes the cause of acromegaly, not Addison's disease.
C. This statement describes the cause of hyperparathyroidism, not Addison's disease.
D. This is the correct explanation of the cause of Addison's disease, which involves adrenal insufficiency.
A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider suspects has metabolic acidosis. Which of the following results should the nurse expect to see?
A. PaCO; above 45 mm Hg
Elevated PaCO2 would be seen in respiratory acidosis, not metabolic acidosis.
B. pH below 7.35
Metabolic acidosis is characterized by a decreased pH.
C. HCO, above 26 mEq/L
This result would indicate metabolic alkalosis, not metabolic acidosis.
D. PaO, below 70 mm Hg
This result would indicate hypoxemia but is not specific to metabolic acidosis.
Full Explanation
A. Elevated PaCO2 would be seen in respiratory acidosis, not metabolic acidosis.
B. Metabolic acidosis is characterized by a decreased pH.
C. This result would indicate metabolic alkalosis, not metabolic acidosis.
D. This result would indicate hypoxemia but is not specific to metabolic acidosis.
A nurse is planning care for a client who has a new diagnosis of diabetes insipidus. Which of the following interventions should the nurse include in the plan of care?
A. Measure blood glucose levels every 4 hr.
This intervention is not relevant to diabetes insipidus, which affects water balance rather than glucose levels.
B. Check urine specific gravity.
Checking urine specific gravity helps assess the concentration of urine, which can be very dilute in diabetes insipidus.
C. Administer a diuretic
Diabetes insipidus is already characterized by excessive urination (polyuria), so administering a diuretic would exacerbate fluid loss.
D. Initiate fluid restrictions
Fluid restrictions are not typically necessary in diabetes insipidus because the primary issue is water loss rather than retention.
Full Explanation
A. This intervention is not relevant to diabetes insipidus, which affects water balance rather than glucose levels.
B. Checking urine specific gravity helps assess the concentration of urine, which can be very dilute in diabetes insipidus.
C. Diabetes insipidus is already characterized by excessive urination (polyuria), so administering a diuretic would exacerbate fluid loss.
D. Fluid restrictions are not typically necessary in diabetes insipidus because the primary issue is water loss rather than retention.