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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Sodium polystyrene sulfonate (Kayexalate): This medication is used to treat hyperkalemia (high potassium levels) by exchanging sodium ions for potassium ions in the intestines, which helps lower potassium levels. The client’s potassium level is dangerously high at 6.2 mEq/L, so this is the most appropriate treatment.
B. Lactulose: Lactulose is used to treat hyperammonemia in liver failure or constipation. It has no role in managing elevated potassium levels.
C. Acetylcysteine: Acetylcysteine is used to treat acetaminophen overdose or as a mucolytic. It is not indicated for hyperkalemia.
D. Potassium iodide: Potassium iodide is used to protect the thyroid from radiation exposure or to treat certain types of thyroid conditions, not for hyperkalemia.
Correct Answer is C
Explanation
A. Hematocrit 45% (37% to 52%): This value is within the normal range for hematocrit. Dehydration may increase the hematocrit due to a relative increase in red blood cell concentration, but 45% is still within normal limits.
B. Creatinine 0.9 mg/dL (0.5-1.2 mg/dL): This value is within the normal range for creatinine, indicating normal kidney function.
C. BUN 25 mg/dL (10-20 mg/dL): An elevated BUN level is a sign of dehydration as it reflects increased protein breakdown and decreased renal perfusion. This value is above the normal range and should be reported to the provider.
D. Urine specific gravity 1.028 (1.005 to 1.030): This value is within the normal range and indicates that the kidneys are concentrating urine, which is typical in dehydration as the body tries to conserve water.
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