The nurse is caring for a school-aged child with a diagnosis of secondary hyperparathyroidism following treatment for chronic renal disease. Which of the following lab data should receive priority attention?

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Chapter 14 Organizing Patient Care Questions Questions

Question 1 of 5

The nurse is caring for a school-aged child with a diagnosis of secondary hyperparathyroidism following treatment for chronic renal disease. Which of the following lab data should receive priority attention?

Correct Answer: A

Rationale: Imbalanced calcium and phosphorus indicate parathyroid dysfunction, critical in renal disease management.

Question 2 of 5

The nurse is caring for a 10 year-old client who will be placed on heparin therapy. Which assessment is critical for the nurse to make before initiating therapy

Correct Answer: B

Rationale: Heparin dosing is weight-based in children to ensure safe anticoagulation.

Question 3 of 5

The nurse is instructing a client with moderate persistent asthma on the proper method for using MDIs (multi-dose inhalers). Which medication should be administered first?

Correct Answer: D

Rationale: Beta agonists (bronchodilators) open airways first, enhancing subsequent drug delivery.

Question 4 of 5

A client confides in the RN that a friend has told her the medication she takes for depression, Wellbutrin, was taken off the market because it caused seizures. What is an appropriate response by the nurse?

Correct Answer: A

Rationale: Encouraging verification of misinformation empowers the client without altering treatment.

Question 5 of 5

Which of these women in the labor and delivery unit would the nurse check first when the water breaks (ROM) for all of them within a 2 minute period?

Correct Answer: A

Rationale: Multigravida at +2 station, 7 cm dilated, and 50% effaced is closest to delivery, requiring immediate assessment post-ROM.

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