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 C

Explanation

Answer: C. Respiratory acidosis

Rationale:

A) Metabolic acidosis: This occurs when there is an excess of acid in the body or a loss of bicarbonate, often due to conditions such as renal failure or severe diarrhea. In chronic bronchitis, the primary issue is related to respiratory function rather than metabolic disturbances.

B) Respiratory alkalosis: This condition results from hyperventilation, leading to excessive loss of carbon dioxide. It is unlikely in a client with chronic bronchitis, who typically experiences difficulty in exhaling fully rather than hyperventilating.

C) Respiratory acidosis: In chronic bronchitis, airflow obstruction and reduced gas exchange can lead to carbon dioxide retention, resulting in respiratory acidosis. Symptoms like dyspnea and increased work of breathing support this imbalance, as the body is unable to adequately expel carbon dioxide.

D) Metabolic alkalosis: This imbalance results from excessive bicarbonate or loss of hydrogen ions, often related to prolonged vomiting or diuretics. It is not characteristic of chronic bronchitis, where the primary concern is respiratory function rather than metabolic processes.

A. Spirituality can increase feelings of hopelessness. B. Spirituality can increase depression. C. Spirituality can increase the desire to hasten death. D. Spirituality can increase the quality of life.

Correct Answer is D

Explanation

A. Spirituality can increase feelings of hopelessness: This is generally not the case. Spirituality often provides a sense of hope and meaning, especially during challenging times such as the end of life.

B. Spirituality can increase depression: On the contrary, spirituality often serves as a source of comfort and strength, and can help individuals cope with emotional pain and feelings of depression.

C. Spirituality can increase the desire to hasten death: Spirituality typically helps individuals find meaning and purpose in their experiences, which can actually decrease the desire for a hastened death.

D. Spirituality can increase the quality of life: This is correct. Spirituality often enhances the quality of life, especially near the end of life. It can provide a sense of peace, comfort, and well-being. It can also help individuals make sense of their experiences and find meaning in them

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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 reviewing the ABG values of a client who has chronic bronchitis and reports dyspnea with minimal exertion. Which of the following acid- base imbalances should the nurse suspect?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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