Rationale 4 Pressing on the patients shoulders will not elicit findings

Rationale 4 pressing on the patients shoulders will

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Rationale 4 : Pressing on the patient’s shoulders will not elicit findings associated with hypocalcemia. Rationale 5 : Having the patient count backwards is not significant to hypocalcemia. Global Rationale: Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 46-2 Question 26 Type: MCMA Following surgery for hypersecretion of growth hormone, a patient complains of a supraorbital headache. The nurse suspects a possible CSF leak and would take which actions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Test any nasal drainage for glucose. 2. Maintain bed rest. 3. Inform the patient that headaches are expected. 4. Keep the head of the bed (HOB) elevated 30 degrees. 5. Administer antibiotics as ordered. Correct Answer: 1,2,4,5 Rationale 1 : The presence of glucose in nasal drainage indicates leakage of CSF. Rationale 2 : Postoperative care of patients with a potential CSF leak should include bed rest.
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Rationale 3 : Headaches are not expected after surgery and are a sign of a CSF leak. Rationale 4 : Postoperative care of patients with a CSF leak should include continued elevation of the HOB. Rationale 5 : Postoperative care of patients with a CSF leak should include the administration of prophylactic antibiotics. Global Rationale: Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 46-2 Question 27 Type: MCMA The nurse is planning to present a community education session on advances in the diagnosis and treatment of endocrine disorders. Which topics should be included in this presentation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. More sensitive technology for hormonal assays 2. Development of new synthetic hormones 3. Standardized methods to prevent endocrine disorders 4. New diagnostic imaging technologies 5. Improvements in surgical techniques Correct Answer: 1,2,4,5 Rationale 1 : Significant advances have been made in the diagnosis and treatment of endocrine disorders in recent years due to the development of more sensitive hormonal assays. Rationale 2 : Several new synthetic hormones have been developed. Rationale 3 : Therapy for endocrine disorders is limited to early diagnosis and improved treatment. Prevention is not yet possible. Rationale 4 : Diagnostic imaging technologies continue to advance. Rationale 5 : There have been significant advances in surgical techniques for endocrine disorders.
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Global Rationale: Cognitive Level: Applying Client Need: Health Promotion and Maintenance Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 46-5 Question 28 Type: MCSA When measuring the blood pressure of a patient with hypoparathyroidism, the nurse notes spasms of the patient’s hand. How should the nurse document this finding?
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