When discussing hyperlipidemia with a group of adolescents, which high level labs should the nurse explain can prevent cardiovascular disease?

Correct Answer: D

Rationale: High-density lipoproteins (HDLs) are often referred to as "good" cholesterol because they help remove other forms of cholesterol from your bloodstream, including low-density lipoproteins (LDLs) which are considered "bad" cholesterol. HDLs play a protective role in preventing cardiovascular disease as they transport cholesterol from the arteries to the liver for excretion. Therefore, having higher levels of HDL cholesterol is associated with a lower risk of heart disease, making it an important focus when discussing hyperlipidemia prevention strategies.

Correct Answer: B

Rationale: After a litholapaxy surgery for bladder stones, it is common for the urethral catheter to remain in place for 1-2 days. This timeframe allows for adequate drainage and healing of the bladder following the procedure. The healthcare team will monitor the patient's progress and determine the appropriate timing for catheter removal based on individual factors such as the size of the stones removed and the patient's overall condition. Early removal of the catheter may increase the risk of complications, while leaving it in place for too long may also lead to problems such as infection. Therefore, the recommended duration of 1-2 days strikes a balance between allowing for proper healing and minimizing potential issues related to catheterization.

Correct Answer: B

Rationale: While furosemide can increase calcium excretion through the kidneys, it may also exacerbate volume depletion and potentially lead to further increase in serum calcium levels. Therefore, administration of furosemide without proper saline or fluid replacement should be avoided in the management of hypercalcemia. The other options mentioned, such as giving fluids to dilute calcium levels, using inorganic phosphate salts, and providing intravenous phosphate therapy, are all appropriate measures in treating hypercalcemia.

Correct Answer: C

Rationale: Serum albumin is a protein that helps maintain oncotic pressure in the blood vessels and prevents fluid from leaking out into the surrounding tissues. In clients with ascites, which is the accumulation of fluid in the abdominal cavity due to liver disease, administration of serum albumin can help shift the fluid from the abdominal cavity back into the blood vessels. As a result, the expected outcome of this treatment would be a decrease in abdominal girth as the fluid is reabsorbed and redistributed. Administering serum albumin would not directly affect urinary output, serum ammonia levels, or hepatic encephalopathy.

Correct Answer: D

Rationale: The parathyroid glands play a crucial role in regulating calcium levels in the body. If the parathyroid glands are accidentally removed during a procedure, the patient is at risk for developing hypocalcemia due to the lack of parathyroid hormone (PTH) production. PTH helps to maintain normal calcium levels in the blood by stimulating the release of calcium from the bones, increasing calcium absorption in the intestines, and reducing calcium excretion by the kidneys. Without PTH, the body's ability to regulate calcium is impaired, leading to low calcium levels, which is known as hypocalcemia. Symptoms of hypocalcemia can include muscle cramps, spasms, and tingling sensations. Nurses should be prepared to monitor for and manage hypocalcemia in a patient who has had their parathyroid glands accidentally removed during a procedure.