A nurse is caring for a client who has hypocalcemia. Which of the following findings should the nurse expect?
Muscle flaccidity
Lethargy
Constipation
Positive Chvostek's sign
The Correct Answer is D
A. Muscle flaccidity: Hypocalcemia typically causes muscle twitching or spasms, not flaccidity. Muscle flaccidity is more often associated with conditions like hyperkalemia or electrolyte imbalances affecting muscle tone in different ways.
B. Lethargy: Lethargy can occur in various conditions, but it is not a hallmark of hypocalcemia. Instead, hypocalcemia usually causes symptoms like irritability, confusion, and muscle cramps rather than general lethargy.
C. Constipation: Constipation is more commonly associated with hypercalcemia, not hypocalcemia. Low calcium levels tend to cause neuromuscular and cardiac symptoms rather than gastrointestinal issues like constipation.
D. Positive Chvostek's sign: A positive Chvostek's sign, which is a twitching of the facial muscles when tapping the facial nerve, is a classic sign of hypocalcemia. It indicates increased neuromuscular excitability, which is characteristic of low calcium levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Occupational therapist: An occupational therapist specializes in helping clients with activities of daily living (ADLs), such as dressing, grooming, and bathing. An occupational therapist can assist in creating strategies or using adaptive equipment to help the client become more independent with dressing.
B. Respiratory therapist: A respiratory therapist focuses on managing respiratory issues and providing treatments like oxygen therapy or breathing exercises. This is not directly related to assisting with dressing, so they are not the appropriate team member for this issue.
C. Social worker: While a social worker can assist with psychosocial issues and discharge planning, they are not typically involved in helping with daily functional tasks like dressing. They would not be the primary provider for this need.
D. Physical therapist: A physical therapist focuses on improving movement, strength, and mobility, particularly related to walking and physical rehabilitation. While they may assist with mobility following surgery, they are not primarily focused on ADLs like dressing.
Correct Answer is D
Explanation
A. A middle adult experiences physical changes: While physical changes are a normal part of aging, they do not necessarily indicate a change in the family system. Stressors affecting the family dynamic are more evident in relational shifts or roles.
B. A young adult develops a close, personal relationship: This is a developmental milestone for a young adult and does not suggest a change in the family system. Relationships are important, but this behavior is not typically a sign of stressors impacting the family structure.
C. A young adult focuses on their career: Career development is a normal developmental task for a young adult and may not indicate a change in the family system. It is a personal growth milestone rather than a response to family stress.
D. A middle adult assumes their parent's responsibilities: This behavior, known as the "sandwich generation" phenomenon, occurs when a middle adult takes on caregiving roles for aging parents while possibly still caring for their own children. This shift in roles is a significant indicator of stressors affecting the family system.
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