What patient will the nurse assess most closely for secondary ...

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What patient will the nurse assess most closely for secondary hyperparathyroidism?
 
  A) The 12-year-old patient with hypothyroidism
  B) The 68-year-old patient with chronic renal failure
  C) The 35-year-old patient with diabetes mellitus
  D) The 48-year-old patient with hyperthyroidism

Question 2

The nurse is caring for a patient who will undergo cardioversion in the patient's room this morning. The patient will receive propofol as anesthetic during the procedure.
 
  What are the benefits of using propofol for this procedure? (Select all that apply.) A) It has a very rapid clearance.
  B) It produces less of a hangover effect.
  C) It allows for quick recovery from anesthesia.
  D) Its onset of action is 5 minutes.
  E) It is painless to inject IV.

[okolip]

Answer to Question 1

B
Feedback:
Secondary hyperparathyroidism occurs most frequently in patients with chronic renal failure. Primary hyperparathyroidism occurs more often in women between 60 and 70 years of age. Although hyperparathyroidism can occur at any age, the patient with diabetes or thyroid disorder would not be at higher risk for the disorder.

Answer to Question 2

A, B, C
Feedback:
Propofol often is used for short procedures because it has a very rapid clearance and produces much less of a hangover effect and allows for quick recovery. It is a very short-acting anesthetic with a rapid onset of action of 30 to 60 seconds. Propofol often causes local burning on injection.

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