105.

A 38-year-old woman is returned to her room after a subtotal

thyroidectomy for treatment of hyperthyroidism. Which of the following, if
found by the nurse at the patients bedside, is nonessential?
1.
2.
3.
4.

Potassium chloride for IV administration.

Calcium gluconate for IV administration.
Tracheostomy set-up.
Suction equipment.

Strategy: Answers are all implementations. Determine the outcome of each

answer choice. Is it desired?
(1) correcthypokalemia is not expected after this surgery
(2) used to treat tetany resulting from possible damage to parathyroid glands
(3) essential equipment to provide for airway
(4) needed to maintain a patent airway
106. The nurse knows that the client with drug-induced Cushings syndrome
should FIRST be instructed about
1.
2.
3.
4.

compression fractures from increased calcium excretion.

decreased resistance to stress.
the schedule for gradual withdrawal of the drug.
changes in secondary sex characteristics.

Strategy: Think about each answer choice.

(1) problems associated with Cushings syndrome, but are not the first priority
(2) problems associated with Cushings syndrome, but are not the first priority
(3) correctif steroids are withdrawn suddenly, the client may die of acute adrenal
insufficiency
(4) not seen with this medication
107. Which of the following is a correct instruction by the nurse to the
parent of a four-year-old client regarding collecting a specimen to be tested
for pinworms?
1. Collect the specimen 30 minutes after the child falls asleep at night.
2. Save a portion of the childs first stool of the day and take it to the physicians
office immediately.
3. Collect the specimen in the early morning with a piece of scotch tape touched to
the childs anus.
4. Feed the child a high-fat meal, and then save the first stool following the meal.
Strategy: Answers are implementations. Determine the outcome of each
answer choice. Is it desired?
(1) specimen should be collected early in the morning after the child awakens
(2) unnecessary, pinworms are not routinely found in the stool
(3) correctpinworms crawl outside the anus early in the morning to lay their eggs
(4) inappropriate for this situation