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?

Shortened QT intervals.

Hypoactive deep tendon reflexes.

Constipation

Tingling of the extremities

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is C

Explanation

Correct answer: C

A. This action would be appropriate if the potassium level were high, indicating hyperkalemia. However, since the client's potassium level is low, the nurse should administer the KCl as prescribed to address the hypokalemia. If there are any concerns about the rate or method of administration, or if the client shows signs of potassium-related complications, the nurse should then consult the provider.

B.Calling the lab to verify the client's results may seem like a reasonable action, but it's not the most appropriate in this scenario. Serum potassium levels are commonly measured accurately, and the nurse should prioritize clinical judgment based on the current potassium level in conjunction with the client's condition and medication regimen.

C. A serum potassium level of 3.2 mEq/L is below the normal range (3.5-5.0 mEq/L), indicating hypokalemia. Hypokalemia can have serious consequences, including muscle weakness, cardiac arrhythmias, and other complications. Administering potassium chloride (KCl) as prescribed is necessary to correct this deficiency and prevent potential adverse effects associated with low potassium levels.

D.Simply omitting the KCL dose without informing the healthcare provider of the client's low potassium level could lead to a missed opportunity for appropriate intervention. Documenting the omission is essential for accurate record-keeping, but it's crucial to communicate the situation to the provider for further guidance.

A. The client who has been NPO since midnight for endoscopy. B. The client who has left-sided heart failure and has a brain natriuretic peptide (BNP) level of 600 pg/mL. C. The client who has end-stage renal failure and is scheduled for dialysis today. D. The client who has gastroenteritis and is febrile.

Correct Answer is D

No explanation

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer potassium chloride (KCL) to a client who is receiving diuretic therapy. The nurse reviews the client's serum potassium level results and discovers the client's potassium level is 3.2 mEq/L. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for four hospitalized clients. Which of the following clients should the nurse identify as being at risk for fluid volume deficit?

Correct Answer is D

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