Which of the ff. interventions can help minimize complications related to Hypercalcemia?

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Question 1 of 5

Which of the ff. interventions can help minimize complications related to Hypercalcemia?

Correct Answer: A

Rationale: Encouraging a high fluid intake, typically around 3 to 4 liters daily, is an intervention that can help minimize complications related to hypercalcemia. Adequate hydration helps prevent the formation of kidney stones, a common complication of hypercalcemia. The increased fluid intake can also promote renal excretion of excess calcium, aiding in its elimination from the body. Additionally, adequate hydration supports overall kidney function and can help prevent renal damage that may result from high calcium levels.

Question 2 of 5

A client who has been taking prednisone to treat lupus erythematosus has discontinued the medication because of lack of funds to buy the drug. When the nurse becomes aware of the situation, which assessment is most important for the nurse to make first?

Correct Answer: B

Rationale: The most important assessment for the nurse to make first in this situation is the client's blood pressure. Abrupt discontinuation of prednisone, especially in a client with lupus erythematosus, can lead to adrenal insufficiency or an Addisonian crisis. Addisonian crisis can present with symptoms such as severe hypotension, fatigue, weakness, and even shock. Therefore, monitoring the client's blood pressure is crucial to assess for signs of adrenal insufficiency and to intervene promptly if needed. Once blood pressure is assessed, the nurse can then proceed to assess other parameters such as breath sounds, capillary refill, and the presence of a butterfly rash.

Question 3 of 5

Which of the following is usually the first symptom of a cataract that the nurse would expect a patient to report during assessment?

Correct Answer: B

Rationale: Blurring of vision is typically the first symptom of a cataract that the nurse would expect a patient to report during assessment. As a cataract develops, it causes clouding of the eye's lens, leading to a decrease in the clarity of vision. This blurriness can progress over time, impacting the patient's ability to see clearly. Other symptoms such as glare sensitivity, poor night vision, double vision, and color fading may also be present as the cataract progresses. Dry eyes, eye pain, and loss of peripheral vision are not typically the initial symptoms associated with cataracts.

Question 4 of 5

Which is a common side effect of short-term corticosteroid therapy?

Correct Answer: D

Rationale: Increased appetite is a common side effect of short-term corticosteroid therapy. Corticosteroids can affect the areas of the brain that control appetite, leading to an increase in hunger and potentially weight gain. While weight loss can occur with long-term corticosteroid use, short-term therapy is more likely to cause increased appetite as a side effect. Fever and hypertension are less commonly associated with short-term corticosteroid therapy.

Question 5 of 5

An adult has a central line in his right subclavian vein. The nurse is to change the tubing. Which of the following should be done?

Correct Answer: C

Rationale: The correct action to be taken when changing the tubing of a central line in the right subclavian vein is to close the roller clamp on the new tubing after priming it. This step is important to prevent air from entering the central line, which can lead to an air embolus. Proper priming and ensuring that the tubing is connected securely are essential steps in maintaining the integrity and safety of the central line system. Therefore, closing the roller clamp after priming the new tubing is crucial to prevent complications.

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