A nurse is admitting a client who has a serum calcium level of 12.3 mg/dL and initiates cardiac monitoring. Which of the following findings should the nurse expect during the initial assessment?

Prolonged ST segment

Hyperactive bowel sounds

Lethargy

Hyperactive deep tendon reflexes

Answer and Explanation

The Correct Answer is C

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Correct Answer is D

Explanation

Correct answer: D

A. Shortened QT intervals are not typically associated with hypocalcemia. Instead, prolonged QT intervals may be seen.

b.This is not typically associated with hypocalcemia. Instead, hypocalcemia usually causes hyperactive deep tendon reflexes due to increased neuromuscular excitability.

c.Constipation is not a specific finding related to hypocalcemia. Hypocalcemia can affect smooth muscle function, but constipation is not a commonly reported symptom.

d.This is a common symptom of hypocalcemia. Low calcium levels affect the nerves and muscles, leading to sensations of tingling, numbness, or even muscle cramps and spasms, particularly in the extremities and around the mouth.

Correct Answer is ["56"]

Explanation

To calculate the infusion rate in gtt/min, we need to know the total number of drops (gtt) needed

for the entire infusion and the time it takes to complete the infusion. Given:

Ringer's lactate: 500 mL
Infusion time: 3 hours

Drop factor: 20 gtt/mL

First, let's calculate the total number of drops needed for the entire infusion: Total drops = Volume (mL) × Drop factor (gtt/mL)

Total drops = 500 mL × 20 gtt/mL Total drops = 10,000 gtt

Next, we need to determine the infusion rate in gtt/min. Since the infusion time is given in hours, we need to convert it to minutes:

Infusion time (min) = Infusion time (hours) × 60 min/hour Infusion time (min) = 3 hours × 60 min/hour

Infusion time (min) = 180 min

Now, we can calculate the infusion rate in gtt/min:

Infusion rate (gtt/min) = Total drops / Infusion time (min) Infusion rate (gtt/min) = 10,000 gtt / 180 min

Infusion rate (gtt/min) ≈ 55.6 gtt/min (Rounded off- 56 gtt/min)

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A nurse is admitting a client who has a serum calcium level of 12.3 mg/dL and initiates cardiac monitoring. Which of the following findings should the nurse expect during the initial assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who had total thyroidectomy and a serum calcium level of 7.6 mg/dL. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

Correct Answer is ["56"]

Explanation

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