Question

please help me with the correct answers and rationales

question1. a nurse is caring for a client with hyperparathyroidism. The nurse identifies the most appropriate nursing intervention for this client?

a. pad side rails as a seizure precaution

b. increase fluid intake to 3-4 Ldaily

c. maintain bedrest to prevent pathologic fractures

d. monitor for troussea's and chvostek's sign

question2. The caretaker of a 24-year old patient with down syndrome notices that the patienthas begun to urinate frequently and in large amounts. You're alerted to the development of which disease that's common in adults with Down syndrome?

a. diabetes mellitus (DM)

b. diabetes insipidus (DI)

c. rheumatoid Arthritis (RA)

d. syndrome of inappropriate antidiuretic hormone (SIADH)

question3. a nurse is caring for a client admitted to hospital with diagnosis of cushing syndrome. on physical assessment of the client, which of the following findings does that nurse expect? (select all that apply)

a. hypertension

b. weight loss

c. hyperpigmentation of the skin

d. peripheral edema

f. hypotension

e. petechiae

Answer 1

Answer: (D) monitor for troussea's and chvostek's sign.

Rational: Due to hyperparathyroidism the level of the calcium becomes too low which causes Trousseau's sign. It includes deformity in the facial expressions or muscles.

Answer: (B) Diabetes insipidus

( In the case of diabetes insipidus, it is the symptom that there is frequent loss of fluid and dehydration occurs)

Answer: Hypertension, hyperpigmentation of skin, peripheral edema.

( In the case of cushing syndrome, the patient gains weight, suffers from anxiety, fatigue, depression etc. )