A nurse is caring for a client who has a positive Trousseau's sign and bone pain. Which of the following electrolyte imbalances should the nurse suspect to find with this client?
Hyperkalemia
Hypermagnesemia
Hypocalcemia
Hyponatremia
The Correct Answer is C
A. Hyperkalemia: Hyperkalemia involves elevated potassium levels, which can cause muscle weakness, cardiac arrhythmias, and other symptoms, but it is not associated with Trousseau's sign or bone pain.
B. Hypermagnesemia: Hypermagnesemia, an elevated magnesium level, typically causes symptoms such as muscle weakness and respiratory depression, but not Trousseau's sign or bone pain.
C. Hypocalcemia: Hypocalcemia, characterized by low calcium levels, is commonly associated with a positive Trousseau's sign (spasms induced by inflating a blood pressure cuff) and bone pain due to calcium's role in bone health and neuromuscular function.
D. Hyponatremia: Hyponatremia refers to low sodium levels, which can cause symptoms like confusion, seizures, and lethargy, but it is not related to Trousseau's sign or bone pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Dyspnea: Shortness of breath or difficulty breathing is a hallmark symptom of COPD, commonly reported by patients.
B. Chronic cough: A persistent cough, often productive, is a common manifestation of COPD, reflecting the chronic inflammation and irritation of the airways.
C. Wheezing: Wheezing, a high-pitched whistling sound during breathing, is often present in COPD due to airway narrowing and obstruction.
D. Sputum production: Increased production of sputum (mucus) is typical in COPD, as the chronic inflammation leads to mucus hypersecretion.
E. Chest tightness: While chest tightness can occur in COPD, it is less common compared to the more prominent symptoms of dyspnea, chronic cough, wheezing, and sputum production.
Correct Answer is A
Explanation
A. Hyperventilation: Respiratory alkalosis is typically caused by hyperventilation, which leads to excessive loss of carbon dioxide and an increase in blood pH. This is a primary finding in respiratory alkalosis.
B. Abdominal pain: While abdominal pain can occur in various conditions, it is not a specific or common finding associated with respiratory alkalosis.
C. Dry skin: Dry skin is not a direct manifestation of respiratory alkalosis. It is not typically associated with the changes in acid-base balance seen in respiratory alkalosis.
D. Diarrhea: Diarrhea is not commonly associated with respiratory alkalosis. Instead, gastrointestinal symptoms like diarrhea are more commonly related to metabolic acidosis or other conditions.
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