NCLEX Quizzes Online & Trivia

HypocalcemiaHypoparathyroidism can cause low serum calcium levels. Numbness and tingling in extremities and in the circumoral area around the mouth are the hallmark signs of hypocalcemia. Normal calcium level is 9 to 11 mg/dl.

Place the end of the chest tube in a container of sterile saline.If a chest drainage system is disconnected, the nurse may place the end of the chest tube in a container of sterile saline or water to prevent air from entering the chest tube, thereby preventing negative respiratory pressure. The nurse should apply an occlusive dressing if the chest tube is pulled out not if the system is disconnected. The nurse shouldnt clamp the chest tube because clamping increases the risk of tension pneumothorax. The nurse should tape the chest tube securely to prevent it from being disconnected, rather than taping it after it has been disconnected.

Rest in an air-conditioned room-fatigue is a common symptom in clients with multiple sclerosis. lowering the body temperature by resting in an air-conditioned room may relieve fatigue; however, extreme cold should be avoided. a hot bath or shower can increase body temperature, producing fatigue. muscle relaxants, prescribed to reduce spasticity, can cause drowsiness and fatigue. planning for frequent rest periods and naps can relieve fatigue. other measures to reduce fatigue in the client with multiple sclerosis include treating depression, using occupational therapy to learn energy conservation techniques, and reducing spasticity.

1. provide a clear path for ambulation without obstacles -cranial nerve ii is the optic nerve, which governs vision. the nurse can provide safety for the visually impaired client by clearing the path of obstacles when ambulating. testing the shower water temperature would be useful if there were an impairment of peripheral nerves. speaking loudly may help overcome a deficit of cranial nerve viii (vestibulocochlear). cranial nerve vii (facial) and ix (glossopharyngeal) control taste from the anterior two thirds and posterior third of the tongue, respectively.

1. pneumonia-pneumonia is the most common complication of influenza. it may be either primary influenza viral pneumonia or pneumonia secondary to a bacterial infection. other complications of influenza include myositis, exacerbation of chronic obstructive pulmonary disease, and reyes syndrome. myocarditis, pericarditis, transverse myelitis, and encephalitis are rare complications of influenza. although septicemia may arise when any infection becomes overwhelming, it rarely results from influenza. meningitis and pulmonary edema arent associated with influenza.

1. prolonged bed rest-rationale: the normal serum calcium level is 8.6 to 10.0 mg/dl. a client with a serum calcium level of 4.0 mg/dl is experiencing hypocalcemia. the excessive ingestion of vitamin d and hyperparathyroidism are causative factors associated with hypercalcemia. end-stage renal disease, rather than renal insufficiency, is a cause of hypocalcemia. prolonged bed rest is a cause of hypocalcemia. although immobilization initially can cause hypercalcemia, the long-term effect of prolonged bed rest is hypocalcemia.test-taking strategy: note the strategic words most likely. first, you must determine that the client is experiencing hypocalcemia. this should assist in eliminating option d. next, you must recall the causative factors associated with hypocalcemia to direct you to option a. if you had difficulty with the question, review the causative factors associated with hypocalcemia.

1. Call the physician2. Report the urine output3. Report indications of nauseaPotassium is lost during diuresis with a loop diuretic such as furosemide (Lasix). Hypokalemia can cause digitalis toxicity, which often results in nausea. The physician should be notified, and digoxin should be held until potassium levels and digoxin levels are checked. Peaked T waves and widened QRS are manifestations of hyperkalemia.

Cyanosis is a term many people probably haven’t heard of, but it seems like a common problem associated with other issues. Cyanosis is when someone’s appearance of their skin has a bluish tint to it because of not getting enough oxygen into their system. For example, if a child began to choke on his or her food at dinnertime, then after a few minutes, the boy may be turning a bluish color. Sometimes, the bluish color may be difficult to see due to different skin tones. A darker skin tone may be difficult to see if there is a problem, but there would be other signs. If you wanted to know if cyanosis is setting in, then look at the lips.

I would think it would be1. Sneezing, coughing and blowing the noseIn our nursing book it stresses NOT to cough or blow your nose since it'll increase the IOP

1. confront angelina, saying that she feels she is intoxicated, and relieve her of her nursing duties immediately. -calling the supervisor is a secondary measure after confronting the nurse and relieving the nurse of her duties. you cannot always assume the supervisor will be immediately available, and client safety should be addressed first. when another nurse is unable to perform her nursing duties due to substance abuse, she should not be allowed to continue them, as client safety is a primary concern. ignoring the situation is against the professional code of conduct for nurses. angelina needs to be relieved of her duties. she probably would not benefit from a lecture in her condition.

Potassium is an element that is found in bananas. Humans need potassium in their bodies. If there is a potassium deficiency, then there can be problems. It is recommended that people get a certain amount of milligrams of potassium each day. For males that are nine to thirteen years old, they should get about 4,500 milligrams of potassium each day. It is probably a little more for older males. Potassium helps with the kidneys and how they function in the body. Potassium levels of three and a half of millimoles per liter of blood is normal. If there are higher amounts, that could be dangerous to someone’s health. If a person has a potassium level of 6.0 millimoles per liter of blood, then that could mean that this patient is experiencing acute renal failure.

The answer is letter C. Metabolic alkalosis is a condition wherein the tissue’s pH heightens to its normal range. The normal level ranges from 7.35 to 7.45. When the pH level of the tissues goes beyond 7.45, a decrease in hydrogen ion occurs. In the given situation, the patient has a tube connected to low suction for 2 days. Since there is a small bowel obstruction, the patient experiences loss of hydrochloric acid. One can also experience vomiting due to metabolic alkalosis because of this loss. One can also be advised to take an antacid to calm the stomach to avoid vomiting. It is important to drink water so a person will not get dehydrated.