Author Question: An 18-year-old client with complaints of fever is admitted to a healthcare facility; a small ... (Read 142 times)

michelleunicorn · **on:** Jul 17, 2018

An 18-year-old client with complaints of fever is admitted to a healthcare facility; a small enlargement on the neck is diagnosed with Hodgkin's disease. The client has water retention due to excessive production of antidiuretic hormone (ADH).

For which of the following electrolyte disturbances should the nurse monitor the client? A) Hyponatremia
B) Hypercalcemia
C) Hypochloremia
D) Hyperphosphatemia

Question 2

When assessing the respiration of a client, a nurse observes a hissing, crowing sound. Based on this information, the nurse recognizes that which is the possible cause of this sound?

A) Spasms and edema of the bronchi
B) Air passing through secretions present in the air passages
C) Obstruction near the glottis
D) Air passageway being partially blocked

mfedorka · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

A
Feedback:
The nurse should monitor the client for hyponatremia. Water retention in excess of salt retention may be caused by an excess production of antidiuretic hormone (ADH) and may result in hyponatremia. Hypercalcemia, hypochloremia, and hyperphosphatemia are less likely to occur.

Answer to Question 2

C
Feedback:
Obstruction near the glottis causes a hissing, crowing sound. Spasms and edema of the bronchi do not cause a hissing, crowing sound; they cause asthma, a condition that causes difficulty breathing. Air passing through secretions present in the air passages causes stertorous breathing, but does not cause a hissing, crowing sound. Partially blocked air passageway causes snoring, which is not a hissing, crowing sound. Snoring is common during sleep, when the person's tongue falls back as a result of relaxation.