Chapter 21: Problem 8
The nurse is checking the client for a positive Trousseau's sign. Which finding indicates a positive Trousseau's sign? A. Facial grimacing B. Carpopedal spasms C. Nuchal rigidity D. Abdominal tenderness
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The client returns to the intensive care unit following a coronary artery bypass graft. The nurse notes that the client is suddenly experiencing shortness of breath with muffled heart sounds. The blood pressure is 90/40, and the pulse rate is 110 beats per minute. Which action is most appropriate initially? A. Check the mediastinal tube for drainage B. Recheck the vital signs C. Administer pain medication D. Decrease the intravenous flow rate
The client returns from surgery following a thyroidectomy. Which action by the nurse indicates understanding of the needs of the client that has a thyroidectomy? A. The nurse checks the urinary output hourly. B. The nurse places a tracheostomy set at the bedside. C. The nurse offers pain medication every hour. D. The nurse checks the abdominal dressing.
The client with peripheral vascular disease is diagnosed with intermittent claudication. Which action by the nurse would help the client to relieve symptoms of intermittent claudication? A. Apply antithrombolytic stockings as ordered B. Encourage the use of a heating pad to the effected leg C. Massage the effected extremity D. Encourage the client to ambulate
The client is admitted with Cushing's disease. The nurse is aware that clients with an adrenal disorder such as Cushing's disease will most likely exhibit signs of: A. Hypercalcemia B. Hyperkalemia C. Hypernatremia D. Hypermagnesemia
Which action should receive priority if the client is experiencing Addisonian crises? A. Judicious monitoring for hypotension and treatment of shock B. Administration of an alpha-adrenergic blocker to treat extreme elevations in blood pressure C. Treat the client by administering calcium carbonate to prevent osteoporosis D. Explain to the client the need to continue treatment for adrenocortical hyposecretion
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