A nurse is collecting data from a client who has hypocalcemia. Which of the following findings should the nurse expect?

Tingling of the lips

Hypoactive bowel sounds

Skeletal muscle weakness

Decreased deep-tendon reflexes

Answer and Explanation

The Correct Answer is A

A) Tingling of the lips:
This is the correct choice. Hypocalcemia, which is low calcium levels in the blood, can lead to neurological symptoms such as tingling sensations around the lips and in the extremities. This occurs due to the effect of low calcium levels on the nervous system.

B) Hypoactive bowel sounds:
Hypocalcemia primarily affects neuromuscular function rather than gastrointestinal function. While calcium imbalances can impact gastrointestinal motility, hypoactive bowel sounds are not typically associated with hypocalcemia.

C) Skeletal muscle weakness:
Skeletal muscle weakness is a common symptom of hypocalcemia. Low calcium levels affect the ability of muscles to contract effectively, leading to weakness and fatigue.

D) Decreased deep-tendon reflexes:
Hypocalcemia can actually lead to increased deep-tendon reflexes rather than decreased reflexes. Calcium plays a role in neuromuscular transmission, and low levels can result in hyperexcitability of nerves, leading to increased reflexes rather than decreased reflexes.

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Correct Answer is B

Explanation

A. Abdominal pain: Abdominal pain is not typically associated with respiratory acidosis. Respiratory acidosis is a condition that occurs when the lungs can’t remove enough carbon dioxide, resulting in an acidic blood pH.

B. Lethargy: Lethargy is a common symptom of respiratory acidosis. Patients may experience fatigue, especially during the daytime1. This is due to the increased carbon dioxide levels in the blood, which can cause confusion, drowsiness, and fatigue

C. Dry skin: Dry skin is not a common symptom of respiratory acidosis. The condition primarily affects the respiratory system and does not typically cause skin changes.

D. Numbness of fingers: While numbness of fingers can be a symptom of various conditions, it is not typically associated with respiratory acidosis. The primary symptoms of respiratory acidosis are related to increased carbon dioxide levels in the blood, such as lethargy and confusion.

A. A critical pathway for clients who have had a stroke B. Standards of care for monitoring clients who have a history of blood pressure elevation C. Acute care facility protocols for clients experiencing an abrupt change in mental status D. Clinical practice guidelines for the management of high blood pressure

Correct Answer is D

Explanation

A. A critical pathway for clients who have had a stroke:
Critical pathways are structured multidisciplinary care plans that outline essential steps in the care of patients with specific conditions. While critical pathways are valuable tools for standardized care, they are not specifically focused on health promotion activities for clients with hypertension.

B. Standards of care for monitoring clients who have a history of blood pressure elevation:
Standards of care typically outline the minimum level of care that should be provided to clients based on evidence-based practice. While monitoring clients with a history of blood pressure elevation is important, it does not encompass the comprehensive health promotion activities related to hypertension.

C. Acute care facility protocols for clients experiencing an abrupt change in mental status:
Acute care facility protocols are designed to guide the management of acute changes in a patient's condition. While relevant to patient care, these protocols do not specifically address health promotion activities for clients with hypertension.

D. Clinical practice guidelines for the management of high blood pressure:
Clinical practice guidelines provide evidence-based recommendations for the management of specific health conditions. They typically include information on health promotion activities, risk factor modification, lifestyle interventions, and pharmacological management for clients with hypertension. Therefore, clinical practice guidelines are the most appropriate resource for information on health promotion activities for clients with hypertension.

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A nurse is collecting data from a client who has hypocalcemia. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data on a client who has respiratory acidosis. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is assisting with a presentation on health promotion activities for clients who have hypertension. Which of the following should the nurse utilize as a resource for this information?

Correct Answer is D

Explanation

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