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

Answer and Explanation

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.

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Correct Answer is B

Explanation

(A) Diarrhea: Diarrhea is typically associated with gastrointestinal disorders. It involves frequent loose or watery stools, which is not a symptom of respiratory alkalosis. Respiratory alkalosis is a condition that affects the respiratory system, causing an increase in the rate or depth of respiration, leading to a decrease in the concentration of carbon dioxide in the blood.

(B) Hyperventilation: Hyperventilation is indeed a common finding in respiratory alkalosis. When a person hyperventilates, they breathe out more carbon dioxide than their body produces. This lowers the level of carbon dioxide in the blood, leading to a rise in blood pH and causing the blood to become more alkaline - a state known as alkalosis.

(C) Dry skin: Dry skin is not typically associated with respiratory alkalosis. It’s more common in conditions like dehydration or skin disorders. Respiratory alkalosis is a condition that affects the respiratory system and the balance of acids and bases in the blood, not the skin.

(D) Abdominal pain: Abdominal pain is not typically associated with respiratory alkalosis. It’s more common in gastrointestinal disorders. Respiratory alkalosis is a condition that affects the respiratory system and the balance of acids and bases in the blood, not the digestive system.

Correct Answer is ["2"]

Explanation

Let's calculate how many tablets the nurse should administer:

Dosage prescribed: The doctor prescribed digoxin 0.25 mg.

Tablet strength: Each available tablet contains 0.125 mg of digoxin.

To find out how many tablets are needed, we can divide the prescribed dosage by the amount of digoxin per tablet:

Number of tablets = Prescribed dosage / Amount of digoxin per tablet

Number of tablets = 0.25 mg / 0.125 mg/tablet

Since we might get a decimal result due to the division, we need to round to the nearest whole number of tablets the nurse can administer for safety reasons.

In this case, dividing 0.25 mg by 0.125 mg/tablet gives us 2.

Therefore, rounding up to the nearest whole number of tablets, the nurse should administer 2 tablets.

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A nurse is assisting with the care of a client who has hypocalcemia. For which of the following signs should the nurse monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has respiratory alkalosis. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is preparing to administer digoxin 0.25 mg PO to a client. The amount available is digoxin 0.125 mg tablets. How many tablets should the nurse administer to the client? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

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