A nurse is assessing a client who has hypocalcemia. Which of the following findings should the nurse expect? (Select all that apply.)

Tingling sensation around the lips

Abdominal distention

Positive Trousseau's sign

Negative Chvostek's sign

Muscle cramps

Answer and Explanation

Correct Answer : A,C,E

A. Hypocalcemia can lead to paresthesia, including tingling sensations around the lips.
B. Abdominal distention is not typically associated with hypocalcemia.

C. Hypocalcemia can result in a positive Trousseau's sign, where carpal spasm is induced by inflating a blood pressure cuff above the systolic pressure for a few minutes.
D. Chvostek's sign is typically positive in hypocalcemia, not negative.

E. Hypocalcemia can cause muscle cramps due to increased neuromuscular excitability.

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Correct Answer is A

Explanation

A. This statement reflects a misconception about menopause and sexual health, indicating a need for education on safe sex practices.
B. This statement indicates the client is taking steps to address discomfort during sexual activity, which is appropriate.
C. This statement reflects body image concerns commonly experienced by older adults and may warrant further exploration but does not necessarily indicate a need for immediate intervention.
D. This statement indicates a normal interest in sexual activity and does not necessarily indicate a need for intervention.

A. The newly licensed nurse uses a paper towel to turn off the faucet after washing their hands. B. The newly licensed nurse uses an alcohol-based hand rub and begins patient care before their hands dry. C. The newly licensed nurse uses soap and cold water to wash their hands. D. The newly licensed nurse uses an alcohol-based hand rub to clean visibly soiled hands.

Correct Answer is A

Explanation

A. This action prevents recontamination of the hands after handwashing, which is an essential component of maintaining medical asepsis.
B. It is recommended to allow alcohol-based hand rub to dry completely before engaging in patient care to ensure effectiveness.

C. While handwashing with soap and water is appropriate, cold water may not be as effective as warm water for removing contaminants.
D. Alcohol-based hand rubs are not sufficient for cleaning visibly soiled hands; soap and water are required in such cases.

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A nurse is assessing a client who has hypocalcemia. Which of the following findings should the nurse expect? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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