A nurse is assessing a client who has hypoparathyroidism. Which of the following findings should the nurse expect?
Flaccid muscles
Client report of anorexia
Client report of numbness in his hands
Negative Chvostek's sign
The Correct Answer is C
A. Flaccid muscles are associated with conditions like hypokalemia, not hypoparathyroidism. In hypoparathyroidism, there is a deficiency of parathyroid hormone (PTH), which leads to low calcium levels and can result in muscle spasms and tetany, not flaccid muscles.
B. While anorexia can occur in clients with various health conditions, it is not a specific finding associated with hypoparathyroidism.
C. Correct. Hypoparathyroidism is characterized by low levels of parathyroid hormone (PTH), which leads to low calcium levels in the blood. This can cause symptoms such as numbness, tingling, and muscle cramps, especially in the extremities.
D. A positive Chvostek's sign is associated with hypocalcemia, which can be caused by hypoparathyroidism. Therefore, a negative Chvostek's sign would not be an expected finding in a client with hypoparathyroidism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Have an eye examination once per year - Regular eye examinations are crucial for detecting and managing retinopathy, a complication of diabetes that affects the eyes.
B. Examine your feet carefully every day - Daily foot examinations are essential to detect any early signs of foot problems, which is particularly important in preventing complications like nephropathy.
C. Wear compression stockings - Compression stockings are not directly related to preventing retinopathy and nephropathy in diabetes. They are more commonly used to improve blood flow in the legs.
D. "Maintain stable blood glucose levels" - While maintaining stable blood glucose levels is important for overall diabetes management, it is not specific to preventing retinopathy and nephropathy. It is a general principle for managing diabetes.
Correct Answer is B
Explanation
A. This option corresponds to the blood glucose range of 151-200. However, the patient's current blood glucose level is 264, which falls into the range of 251-300. Therefore, administering 2 units would not be appropriate in this case.
B. The patient's current blood glucose level is 264, which falls into the range of 251-300. According to the sliding scale insulin aspart orders, for this range, 6 units should be administered. This option aligns with the patient's blood glucose level and the prescribed protocol.
C. This option corresponds to the blood glucose range of 351-400. The patient's blood glucose level of 264 does not fall into this range, so administering 10 units would be excessive and potentially lead to hypoglycemia.
D. This option corresponds to the blood glucose range of 201-250. The patient's current blood glucose level is 264, which falls into the range of 251-300. Therefore, administering 4 units would not be sufficient to address the elevated blood glucose level.
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