The nurse is instructing a client with newly diagnosed hypoparathyroidism about the regimen used to treat this disorder. The nurse should state that the physician probably will prescribe daily supplements of calcium and:

Correct Answer: C

Rationale: In the management of hypoparathyroidism, along with the supplementation of calcium, a physician will often prescribe vitamin D. This is because vitamin D plays a crucial role in regulating the absorption of calcium in the intestines. A deficiency in vitamin D can lead to decreased calcium absorption, which can worsen the symptoms of hypoparathyroidism. Therefore, supplementing with vitamin D along with calcium helps to maintain proper calcium levels in the body, which is essential for various physiological functions.

Correct Answer: C

Rationale: Patients with ulcerative colitis usually benefit from a high protein, low residue diet. A high protein diet helps promote tissue healing and repair. Low residue foods are preferred to reduce mechanical irritation to the inflamed colon. This combination can help manage symptoms and promote overall gut health for individuals with ulcerative colitis. High calorie, low protein (Option A) may not provide adequate nutrient density and healing support. Low fat, high fiber (Option B) may exacerbate symptoms and increase gastrointestinal discomfort. Low sodium, high carbohydrate (Option D) may not address the specific needs of patients with ulcerative colitis.

Correct Answer: C

Rationale: Osteomyelitis is an infection of the bone often caused by bacteria. When a client is diagnosed with Osteomyelitis, the nurse would expect to assess for positive wound cultures. This means that the wound site is likely to show growth of infectious organisms, confirming the presence of infection in the bone. A positive wound culture result helps guide appropriate antibiotic therapy to treat the infection effectively. Therefore, option C is the most appropriate assessment finding to expect in a client diagnosed with Osteomyelitis.

Correct Answer: C

Rationale: The primary reason a type II diabetic does not usually develop diabetic ketoacidosis is that there is no sufficient insulin to prevent the breakdown of protein and fatty acids for metabolic needs. In type II diabetes, the body still produces some insulin, unlike in type I diabetes where there is a complete lack of insulin. However, the insulin that is produced in type II diabetes may not be enough to effectively lower blood sugar levels and prevent the breakdown of protein and fatty acids for energy. This imbalance can lead to high blood sugar levels, known as hyperglycemia, but not to the extent of causing diabetic ketoacidosis, which typically occurs in the absence of sufficient insulin to prevent the breakdown of fats into ketones.

Correct Answer: B

Rationale: Transurethral resection of prostate (TURP) is a surgical procedure commonly performed to treat benign prostatic hyperplasia (BPH) that is causing significant symptoms such as difficulty urinating. In this case, the patient was rushed to the ER due to the difficulty in urination, which indicates that the condition is causing acute distress and requires prompt intervention. Since the surgery was advised urgently by the doctor, the nurse classifies this condition as urgent. An urgent procedure is one that is necessary within a relatively short time frame to prevent complications or alleviate acute distress, but it is not an emergency that requires immediate intervention.