A nurse is assisting with the care of a client who has hypocalcemia. For which of the following signs should the nurse monitor?
Kernig's sign
Brudzinski's sign
Chvostek's sign
Cullen's sign
The Correct Answer is C
(A) Kernig’s sign: Kernig’s sign is a clinical sign in which severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees. It is commonly associated with meningitis, not hypocalcemia.
(B) Brudzinski’s sign: Brudzinski’s sign is a symptom of meningitis. It is not associated with hypocalcemia.
(C) Chvostek’s sign: This is the most appropriate answer. Chvostek’s sign is a clinical sign of existing nerve hyperexcitability (tetany) seen in hypocalcemia. It refers to an abnormal reaction to the stimulation of the facial nerve.
(D) Cullen’s sign: Cullen’s sign is a medical term referring to superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus. It is not associated with hypocalcemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Chlordiazepoxide 10 mg PO tid means that the patient is supposed to receive 10 milligrams of chlordiazepoxide by mouth three times a day (tid = three times a day).
Since the available capsules only contain 5 mg of chlordiazepoxide each, the nurse needs to calculate how many capsules are needed to deliver the prescribed dose of 10 mg.
To find out how many capsules are needed, we can divide the prescribed dosage by the amount of chlordiazepoxide per capsule:
Number of capsules = Prescribed dosage / Amount of chlordiazepoxide per capsule
Number of capsules = 10 mg / 5 mg/capsule
Dividing 10 mg by 5 mg/capsule gives us 2.
A patient cannot take half a capsule, so we round up to the nearest whole number.
Therefore, the nurse should administer 2 capsules per dose.
Correct Answer is C
Explanation
(A) Swallow the tablet whole with an 8 oz glass of water.
Sublingual nitroglycerin tablets should not be swallowed. They need to be placed under the tongue where they can dissolve and be absorbed quickly to provide rapid relief from angina.
(B) Store the medication in a pill box at the bedside.
Nitroglycerin sublingual tablets should be stored in their original container and kept tightly closed to protect them from light and moisture. Storing them in a pill box at the bedside could lead to degradation of the medication.
(C) Take the medication at the first indication of chest pain.
This is the correct instruction. Nitroglycerin sublingual tablets should be taken at the first sign of chest pain to provide prompt relief. The rapid onset of action helps to alleviate angina symptoms quickly.
(D) Remove the nitroglycerine patch before taking the sublingual tablet.
It is not necessary to remove the nitroglycerin patch before taking a sublingual tablet. The two forms of nitroglycerin can be used together, as the patch provides a continuous dose while the sublingual tablet offers rapid relief of acute symptoms.
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