Mrs. T. also complains of hoarseness, which results from

Correct Answer: C

Rationale: The correct answer is C because hoarseness can be caused by a large thyroid tumor pressing on the larynx, affecting vocal cord function. This physical obstruction directly interferes with the ability of the vocal cords to vibrate properly, leading to hoarseness. Increased capillary permeability (A) would not result in hoarseness. A secondary respiratory infection (B) may cause coughing or throat irritation, but not hoarseness specifically. A psychologic illness (D) would not directly cause hoarseness as it is a physical symptom related to the vocal cords.

Correct Answer: B

Rationale: The correct answer is B because salt substitutes often contain potassium, which can be harmful for individuals on a salt-restricted diet, especially those with kidney issues. Excessive potassium intake can lead to dangerous health complications. Choice A is incorrect because while some salt substitutes may enhance flavor, the primary concern with their use is the potassium content, not taste improvement. Choice C is incorrect as it suggests a temporary use of salt substitute, which may not be advisable due to the potential potassium-related health risks. Choice D is incorrect as it suggests alternative seasonings that may not address the issue of potassium intake from salt substitutes.

Correct Answer: C

Rationale: The correct answer is C: lipid digestion. Kidneys are not involved in the process of lipid digestion. Kidneys primarily function in filtering blood, controlling water and electrolyte balance, regulating blood pressure, and removing waste products. Lipid digestion occurs in the gastrointestinal system, specifically in the small intestine, where bile from the liver aids in breaking down fats. Choices A, B, and D are all functions directly related to kidney function, as the kidneys play a crucial role in maintaining proper pH balance, filtering waste products from the blood, and regulating blood pressure.

Correct Answer: C

Rationale: The correct answer is C because when the pH drops, the kidney aims to restore acid-base balance by excreting more hydrogen ions and reabsorbing more bicarbonate ions. Choice A is incorrect because the kidney excretes more hydrogen ions to help raise the pH. Choice B is incorrect because the kidney excretes more bicarbonate ions to help buffer the excess hydrogen ions. Choice D is incorrect because the kidney would not secrete fewer bicarbonate ions when trying to compensate for a drop in pH.

Correct Answer: E

Rationale: Rationale: E is the correct answer because it addresses the need for further assessment and intervention by the healthcare team. The nurse and urologist's unsuccessful attempts indicate a need for a different approach. Options A, B, C, and D do not address the need for additional assessment or intervention. Option A focuses on positioning, B on technique, C on depth of insertion, and D on frequency of self-catheterization. None of these options address the need for a different plan of care. Therefore, E is the correct choice as it prompts the healthcare team to reassess and consider alternative strategies.