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Free NCLEX-RN Exam Braindumps (page: 199)

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PDF with 862 Questions

A male client is diagnosed with hypoparathyroidism. He has been on dialysis for several years. He is experiencing symptoms such as numbness of the lips, muscle weakness, carpopedal spasms, and wheezing. Given the client's symptoms, nursing assessment would focus on:

  1. Detection of tetany
  2. Detection of hypocalcemia to prevent seizures
  3. Evidence of depression
  4. Detection of premature cataract formation

Answer(s): A

Explanation:

(A) Assessment should focus on detection of tetany, which is the most common symptom of hypoparathyroidism. Left undetected and untreated, tetany resulting from hypocalcemia can progress to seizures. (B) Hypocalcemia is difficult to detect on nursing assessment alone. Abdominal cramping may be an indication of hypocalcemia, but laboratory data are required to confirm diagnosis. (C) Depression can be a symptom of hypoparathyroidism, but it is not definitive. (D) Premature cataract formation can occur, but it also is not specific to parathyroidism and poses no immediate danger to the client.



A male client is diagnosed with hypoparathyroidism. He has been on dialysis for several years. He is experiencing symptoms such as numbness of the lips, muscle weakness, carpopedal spasms, and wheezing. Given the client's symptoms, nursing assessment would focus on:

  1. Detection of tetany
  2. Detection of hypocalcemia to prevent seizures
  3. Evidence of depression
  4. Detection of premature cataract formation

Answer(s): A

Explanation:

(A) Assessment should focus on detection of tetany, which is the most common symptom of hypoparathyroidism. Left undetected and untreated, tetany resulting from hypocalcemia can progress to seizures. (B) Hypocalcemia is difficult to detect on nursing assessment alone. Abdominal cramping may be an indication of hypocalcemia, but laboratory data are required to confirm diagnosis. (C) Depression can be a symptom of hypoparathyroidism, but it is not definitive. (D) Premature cataract formation can occur, but it also is not specific to parathyroidism and poses no immediate danger to the client.



A client who is a breast-feeding mother develops mastitis. The clinical signs and symptoms of mastitis include:

  1. Marked engorgement, elevated temperature, chills, and breast pain with an area that is red and hardened
  2. Marked engorgement and breast pain
  3. Elevated temperature and general malaise
  4. Cracked nipple with complaints of soreness

Answer(s): A

Explanation:

(A) Mastitis is a bacterial inflammation of the breast tissue found primarily in breast-feeding mothers. The bacteria usually enter the breast through a cracked nipple, or the infection results from stasis of milk behind a blocked duct. (B) With breast engorgement during breast-feeding, there may be marked breast pain. This is not necessarily a sign of infection. (C) Women may become ill during breast-feeding with other bacterial or viral infections that are not related to mastitis. (D) Improper care of the nipples or improper positioning of the infant during breastfeeding may result in cracked or sore nipples.



A client who is a breast-feeding mother develops mastitis. The clinical signs and symptoms of mastitis include:

  1. Marked engorgement, elevated temperature, chills, and breast pain with an area that is red and hardened
  2. Marked engorgement and breast pain
  3. Elevated temperature and general malaise
  4. Cracked nipple with complaints of soreness

Answer(s): A

Explanation:

(A) Mastitis is a bacterial inflammation of the breast tissue found primarily in breast-feeding mothers. The bacteria usually enter the breast through a cracked nipple, or the infection results from stasis of milk behind a blocked duct. (B) With breast engorgement during breast-feeding, there may be marked breast pain. This is not necessarily a sign of infection. (C) Women may become ill during breast-feeding with other bacterial or viral infections that are not related to mastitis. (D) Improper care of the nipples or improper positioning of the infant during breastfeeding may result in cracked or sore nipples.






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