A nurse is collecting data from a client who has a calcium level of 12 mg/dL (9-10.5 mg/dL). Which of the following manifestations should the nurse expect?

Hypotension

Decreased deep tendon reflexes

Diarrhea

Increased appetite

Answer and Explanation

The Correct Answer is B

A. Hypotension: Hypercalcemia (high calcium levels) typically causes increased blood pressure, not hypotension.

B. Decreased deep tendon reflexes: High calcium levels can depress neuromuscular function, leading to diminished or absent deep tendon reflexes. This is a common finding in hypercalcemia.

C. Diarrhea: Hypercalcemia is more commonly associated with constipation, not diarrhea.

D. Increased appetite: Hypercalcemia does not cause increased appetite. It often leads to symptoms such as nausea, vomiting, or a reduced appetite.

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Correct Answer is B

Explanation

A. The patient can experience speed shock: Speed shock is a rapid infusion of a substance (like a medication or fluid) into the bloodstream, usually occurring when the infusion rate is too fast. This is not typically caused by flushing a clotted cannula.

B. A clot can be forced into the circulation causing serious complications: Flushing a clotted cannula too aggressively can dislodge a clot, causing it to travel into the bloodstream. This can lead to serious complications like embolism or stroke, especially if the clot is large or travels to a vital organ.

C. A painful arterial spasm can occur: While arterial spasms can occur, they are more often related to arterial catheterization or manipulation rather than flushing a venous cannula.

D. The catheter can become dislodged and fall out: While this could potentially happen, it is less of a concern compared to the risk of pushing a clot into circulation, which is a more immediate danger.

A. Hypertension B. Increased thirst C. Muscle tetany D. Diaphoresis

Correct Answer is C

Explanation

A. Hypertension: Low calcium levels are not typically associated with hypertension. In fact, hypocalcemia can lead to a variety of neurological symptoms such as muscle spasms and tetany.

B. Increased thirst: Increased thirst is not a direct symptom of hypocalcemia. It may be seen in diabetes or dehydration but not typically in hypocalcemia.

C. Muscle tetany: Hypocalcemia is a common result of thyroidectomy, especially if the parathyroid glands were affected during surgery. This condition can lead to muscle tetany, which involves involuntary muscle contractions or spasms.

D. Diaphoresis: Diaphoresis is not commonly associated with hypocalcemia. Sweating is more related to stress, pain, or fever.

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A nurse is collecting data from a client who has a calcium level of 12 mg/dL (9-10.5 mg/dL). Which of the following manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following complications can occur if a clotted cannula is flushed too aggressively?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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