Elevated serum vitamin D.

Question 1

Elevated serum vitamin D.

Question 1 Explanation:

The parathyroid glands regulate the calcium level in the blood. In hyperparathyroidism, the serum calcium level will be elevated. Option B: Parathyroid hormone levels may be high or normal but not low.Option C: The body will lower the level of vitamin D in an attempt to lower calcium. Option D: Urine calcium may be elevated, with calcium spilling over from elevated serum levels. This may cause renal stones.Question 2

A high protein diet.

Question 2 Explanation:

A patient with Addison’s disease requires normal dietary sodium to prevent excess fluid loss. Adequate caloric intake is recommended with a diet high in protein and complex carbohydrates, including grains.Question 3

2022 - 2023 NCLEX Practce Exam 3 (40 Q and A) Questions and Answers Actual Latest Grade A +

A patient is admitted to the hospital with a diagnosis of primary hyperparathyroidism. A nurse checking the patient’s lab results would expect which of the following changes in laboratory findings?

Low serum parathyroid hormone (PTH).

Low urine calcium.

A patient with Addison’s disease asks a nurse for nutrition and diet advice. Which of the following diet modifications is NOT recommended?

A diet with adequate caloric intake.

A restricted sodium diet.

A diet high in grains.

Elevated serum calcium. 1 / 3

Hypoglycemia.

Question 3 Explanation:

A post-operative diabetic patient who is unable to eat is likely to be suffering from hypoglycemia.Confusion and shakiness are common symptoms. Option A: An anesthesia reaction would not occur on the second postoperative day. Options B and D: Hyperglycemia and ketoacidosis do not cause confusion and shakiness.Question 4

Colon cancer.

Question 4 Explanation:

Bowel perforation is the most serious complication of fiberoptic colonoscopy. Important signs include progressive abdominal pain, fever, chills, and tachycardia, which indicate advancing peritonitis. Options B and C: Viral gastroenteritis and colon cancer do not cause these symptoms. Option D: Diverticulitis may cause pain, fever, and chills, but is far less serious than perforation and peritonitis.Question 5

A patient with a history of diabetes mellitus is on the second post-operative day following cholecystectomy. She has complained of nausea and isn’t able to eat solid foods. The nurse enters the room to find the patient confused and shaky. Which of the following is the most likely explanation for the patient’s symptoms?

Hyperglycemia.

Diabetic ketoacidosis.

A nurse assigned to the emergency department evaluates a patient who underwent fiberoptic colonoscopy 18 hours previously. The patient reports increasing abdominal pain, fever, and chills. Which of the following conditions poses the most immediate concern?

Viral gastroenteritis

Diverticulitis

A patient is admitted to the same day surgery unit for liver biopsy. Which of the following laboratory tests assesses coagulation? (Select all that apply)

Bowel perforation

Anesthesia reaction. 2 / 3

Platelet count

Question 5 Explanation:

Prothrombin time, partial thromboplastin time, and platelet count are all included in coagulation studies.Option D: The hemoglobin level, though important information prior to an invasive procedure like liver biopsy, does not assess coagulation.Question 6

Blood transfusion

Question 6 Explanation:

Hepatitis A is the only type that is transmitted by the fecal-oral route through contaminated food. Options A, C, and D: Hepatitis B, C, and D are transmitted through infected bodily fluids.Question 7

Prothrombin time

Hemoglobin

A nurse is assessing a clinic patient with a diagnosis of hepatitis A. Which of the following is the most likely route of transmission?

Contaminated food

Illegal drug use

A leukemia patient has a relative who wants to donate blood for transfusion. Which of the following donor medical conditions would prevent this?

Cholecystitis requiring cholecystectomy one year previously.

Partial thromboplastin time

A history of hepatitis C five years previously.

Sexual contact with an infected partner

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