A client with a history of lung disease is at risk for developing respiratory acidosis. The nurse should anticipate to assess which signs and symptoms to indicate respiratory acidosis?

Bradypnea, dizziness, and paresthesia

Bradycardia and hyperactivity

Headache, restlessness and confusion.

Irritability and seizures

Answer and Explanation

The Correct Answer is C

A. Bradypnea, dizziness, and paresthesia: Bradypnea is associated with CO₂ retention, but paresthesia (tingling sensations) is more common in alkalosis due to calcium shifts.

B. Bradycardia and hyperactivity: Bradycardia can occur in severe acidosis, but hyperactivity is not a typical sign.

C. Headache, restlessness, and confusion: Respiratory acidosis occurs when CO₂ retention leads to cerebral vasodilation, increasing intracranial pressure and causing headache, restlessness, and confusion.

D. Irritability and seizures: Seizures are more common in severe alkalosis due to neuronal hyperexcitability.

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Correct Answer is D

Explanation

A. Constipation: Hypocalcemia causes diarrhea, while hypercalcemia causes constipation.

B. Negative Trousseau’s sign: A positive Trousseau’s sign (carpal spasm during BP cuff inflation) is expected with hypocalcemia.

C. BP of 180/88: Severe hypocalcemia may cause hypotension, not hypertension.

D. Numbness and tingling of the extremities: Hypocalcemia can occur after a total thyroidectomy due to accidental removal or damage to the parathyroid glands. Neuromuscular excitability, including paresthesia (numbness and tingling), tetany, and muscle spasms, are classic signs.

Correct Answer is ["1370"]

Explanation

To calculate total output, we sum all recorded outputs:

Urine output:
- 400 mL + 350 mL = 750 mL
Chest tube drainage:
- 175 mL (current) - 155 mL (previous) = 20 mL
Nasogastric tube drainage: 575 mL
Jackson-Pratt drain output: 25 mL

Total Output = 750 + 20 + 575 + 25 = 1,370 mL

Correct Answer: 1,370 mL

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A client with a history of lung disease is at risk for developing respiratory acidosis. The nurse should anticipate to assess which signs and symptoms to indicate respiratory acidosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who had a total thyroidectomy and a low serum calcium level of 7.4 mg/dL. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

Correct Answer is ["1370"]

Explanation

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