A nurse in a community clinic is collecting data from a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply.)

(Select All that Apply.)

Bradycardia

Pale Yellow Urine

Poor Skin Turgor

Hypotension

Flat Neck Veins

Answer and Explanation

Correct Answer : C,D,E

A. Bradycardia: Vomiting and diarrhea usually lead to tachycardia (increased heart rate) as the body compensates for hypovolemia, not bradycardia (slow heart rate).

B. Pale Yellow Urine: Dehydration often causes the urine to become concentrated and dark yellow, not pale yellow.

C. Poor Skin Turgor: Poor skin turgor is a classic sign of dehydration caused by fluid loss.

D. Hypotension: Loss of fluid volume can result in hypotension due to reduced blood circulation.

E. Flat Neck Veins: Dehydration causes reduced venous return, leading to flat neck veins, particularly when lying down.

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Correct Answer is D

Explanation

A. Elevated blood pressure: Hypocalcemia is more likely to cause low blood pressure due to its effect on vascular tone and cardiac contractility, not elevated blood pressure.

B. Negative Chvostek sign: A negative Chvostek sign would be expected in clients with normal calcium levels. A positive Chvostek sign (twitching of the facial muscles when tapped) is a sign of hypocalcemia.

C. Constipation: Hypocalcemia does not typically cause constipation. In fact, hypercalcemia can lead to constipation.

D. Tetany: Tetany, which involves muscle cramps and spasms, is a common manifestation of hypocalcemia. It occurs due to increased neuromuscular excitability when calcium levels are low.

A. Hypertension B. Increased thirst C. Muscle tetany D. Diaphoresis

Correct Answer is C

Explanation

A. Hypertension: Low calcium levels are not typically associated with hypertension. In fact, hypocalcemia can lead to a variety of neurological symptoms such as muscle spasms and tetany.

B. Increased thirst: Increased thirst is not a direct symptom of hypocalcemia. It may be seen in diabetes or dehydration but not typically in hypocalcemia.

C. Muscle tetany: Hypocalcemia is a common result of thyroidectomy, especially if the parathyroid glands were affected during surgery. This condition can lead to muscle tetany, which involves involuntary muscle contractions or spasms.

D. Diaphoresis: Diaphoresis is not commonly associated with hypocalcemia. Sweating is more related to stress, pain, or fever.

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A nurse in a community clinic is collecting data from a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has a calcium level of 8 mg/dL (9.0-10.5 mg/dL). Which of the following manifestations should the nurse expect?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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