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The nurse is caring for a client scheduled for removal of a
pituitary tumor using the transsphenoidal approach. The nurse should be
particularly alert for:
A. Nasal congestion
B. Abdominal tenderness
C. Muscle tetany
D. Oliguria
Answer A: Removal of the pituitary gland is usually done by a
transsphenoidal approach, through the nose. Nasal congestion further
interferes with the airway. Answers B, C, and D are not correct because they
are not directly associated with the pituitary gland.
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A client with cancer is admitted to the oncology unit. Stat lab values
reveal Hgb 12.6, WBC 6500, K+ 1.9, uric acid 7.0, Na+ 136, and platelets
178,000. The nurse evaluates that the client is experiencing which of the
following?
A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis
Answer B: Hypokalemia is evident from the lab values listed. The other
laboratory findings are within normal limits, making answers A, C, and D
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incorrect.
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A z24-year-old zfemale zclient zis zscheduled zfor zsurgery zin zthe
z morning. zWhich zof zthezfollowing zis zthe zprimary zresponsibility zof zthe
z nurse?
A. Taking zthe zvital zsigns
B. Obtaining zthe zpermit
C. Explaining zthe zprocedure
D. Checking zthe zlab zwork
Answer zA: zThe zprimary zresponsibility zof zthe znurse zis zto ztake zthe zvital
signs zbefore zany zsurgery.zThe zactions zin zanswers zB, zC, zand zD zare zthe
z
z responsibility zof zthe zdoctor zand, ztherefore, zare zincorrect zfor zthis zquestion.
The znurse zis zworking zin zthe zemergency zroom zwhen za zclient zarrives
NCLEX-PN TESTBANK NCLEX-PN Test-Bank (200
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