student questions Flashcards
An 82 year old patient presents to the ED with a calcium level of 15 mg/dL. Patients wife states that he has been taking TUMS for the past two weeks. Which clinical manifestations would a nurse expect to find in this client? (Select all that apply).
A) Nephrolithiasis
B) Hallucinations, seizures and confusion
C) Tingling around mouth/extremities
D) Cardiac dysrhythmias
E) Bone pain and fracture
Answer- A,B,D,E
A patient presents to the Emergency Department with a history of Stage 4 Renal Disease complaining of anuria, and muscle weakness. EKG showed an elevated T wave. Which electrolyte imbalance is this patient likely experiencing?
Answer: A Hyperkalemia
A patient with kidney failure and hypermagnesemia is getting ready to eat their lunch tray that just arrived. As their nurse what foods would you know to be inappropriate for them. Select all that apply
a) bananas
b) chicken breast
c) kale salad with avocado
d) potatoes
e) jello
answer : A & C
A 38 year-old female patient presents with decreased urine output, a low-grade fever, and morning lab results show a serum sodium level of 150 mEq/L. Which would be your top nursing priority?
A. Put the patient on a sodium restriction diet
B. Give antipyretic medication
C. Insert an indwelling urinary catheter
D. Promote oral fluid intake
Correct Answer: D
What are the manifestations of a serum phosphorous level of 6.1 mg/dL in a client? Select all that apply
A. rickets
B. tetany
C. dysrhythmias
D. hypotension
E. seizures
answer: B,C,D,E
Question: A patient’s blood test results come back and they indicate a low PTH (parathyroid hormone). What blood condition is this patient at risk for?
Answers:
A. Hypocalcemia
B. Hypercalcemia
C. Hypokalemia
D. Hyperkalemia
Answer: A. Hypocalcemia
What are the clinical manifestations of HYPOkalemia? Select all that apply
a) Shallow Respirations
b) increased intestinal motility
c) weakness
d) irritability
e) bounding pulses
Answer: A,C,D
An alcoholic, pregnant woman, and a diabetic walk into a bar. Which person would you expect to show signs of hypomagnesemia?
a. alcoholic
b. pregnant woman
c. diabetic
d. bartender
Answer: a. alcoholic
What are the manifestations of mild hyponatremia? (select all that apply)
A. headache B. seizures C. vomiting D. edema E. irritability
Answer - A, D, E
A patient presents to the ED with rickets, you are awaiting their lab results, what underlying cause would you suspect?
a. hypokalcemia
b. hypophosphatemia
c. hypercalcemia
d. hypomagnesemia
Answer: B hypophosphatemia
