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Questions 149

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Question 1 of 5

A client who has undergone a thyroidectomy complains of numbness, tingling, and stiffness in her hands, feet, and face as well as muscle tremors, spasmodic muscle contractions, and anxiety during the postoperative period. Which laboratory tests does the nurse anticipate that the physician will request?

Correct Answer: D

Rationale: Numbness, tingling, and muscle spasms post-thyroidectomy suggest hypocalcemia due to parathyroid gland disruption. The physician will likely request a calcium level test (
D). Hemoglobin (
A), sodium (
B), and TSH (
C) are not directly related to these symptoms.

Question 2 of 5

The physician has ordered that a serum trough level be drawn for a medication. Which of the following is the correct time to draw blood for a trough level?

Correct Answer: D

Rationale: A trough level is drawn immediately before a scheduled dose (
D) to measure the lowest drug concentration in the blood. Other times (A, B,
C) do not reflect the trough level.

Question 3 of 5

A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test:

Correct Answer: B

Rationale: A nonstress test measures fetal heart rate in response to fetal movement, assessing fetal activity and well-being.

Question 4 of 5

The nurse is conducting a physical examination of a client's abdomen. Place the examination techniques listed below (Roman numerals) in the correct sequence, from first to last.

Order the Items

Source Container

Percussion
Palpation
Inspection
Auscultation

Correct Answer: C,D,A,B

Rationale: Abdominal exam sequence: Inspection (III) first, then auscultation (IV) before percussion (I) and palpation (II) to avoid altering bowel sounds.

Question 5 of 5

Twenty micrograms (g) are equal to how many milligrams? Record your answer using a decimal number.

Correct Answer: 0.02

Rationale: 1 mg = 1,000 g, so 20 /1,000 = 0.02 mg.

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