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 D

Explanation

A. Turn off the IV solution and gently flush the line with 3 mL of saline flush solution: This may be necessary later if the occlusion is not resolved by troubleshooting, but the first action should be to check the tubing and clamp for any obstructions.

B. Decrease the rate to 10 mL/hr and flush the line with 1 mL of heparin solution: This is not appropriate as an initial action. Heparin flushes are generally used for maintaining patency in central lines and are not indicated for occlusions caused by tubing issues.

C. Notify the physician: While important if the issue persists, this is not the first action. The nurse should attempt to resolve the problem independently first.

D. Check for kinking of the tubing or a closed clamp: This is the first action the nurse should take. Most occlusions are due to kinking in the tubing or a closed clamp, and resolving this issue may immediately restore the flow.

A. A patient who lost 2 liters of blood during surgery B. A patient who received 6 liters of IV fluid C. A patient with UTI on po iv meds D. A patient with congestive heart failure

Correct Answer is A

Explanation

A. A patient who lost 2 liters of blood during surgery: This is the most acute and severe form of hypovolemia due to significant blood loss, requiring immediate fluid replacement and hemodynamic monitoring.

B. A patient who received 6 liters of IV fluid: This patient is at risk for hypervolemia, not hypovolemia, due to fluid overload.

C. A patient with UTI on PO meds: While dehydration may occur, it is typically mild and does not cause hypovolemia.

D. A patient with congestive heart failure: CHF usually leads to fluid retention, making hypovolemia unlikely unless there are other complicating factors.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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