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 A

Explanation

A. "I will take my warfarin with a glass of water the night before my surgery":

This statement indicates a need for further teaching. Warfarin is an anticoagulant medication, and it should typically be discontinued or adjusted before surgery to reduce the risk of excessive bleeding. Taking it the night before surgery could increase the risk of bleeding during the procedure.

B. "I understand what risks I can expect with this surgery":

This statement suggests that the client has received information about the risks associated with the surgery, which is an essential component of preoperative education. There is no indication for further teaching based on this statement.

C. "I will take time to relax if I get nervous the night before surgery":

This statement demonstrates the client's awareness of the importance of managing stress and anxiety before surgery, which is a positive coping strategy. There is no need for further teaching based on this statement.

D. "I will have a glass of water the morning of my surgery":

This statement is generally acceptable. Clear fluids may be allowed up to a certain time before surgery, depending on the facility's protocol. However, specific instructions regarding fasting before surgery should be clarified with the healthcare provider or surgical team to ensure adherence to preoperative guidelines.

A. "C" refers to the cost to complete the research. B. "O" refers to the outcome of the research. C. "I" refers to the issue to be researched. D. "T" Prefers to the steps for planning the research

Correct Answer is B

Explanation

A. “C” refers to the cost to complete the research: This is not accurate. In a PICOT question, “C” stands for “Comparison”. It refers to the other main intervention or treatment that you wish to compare with the intervention12.

B. “O” refers to the outcome of the research: This is correct. In a PICOT question, “O” stands for “Outcome”. It refers to the effect or result that you expect from the intervention12.

C. “I” refers to the issue to be researched: This is not accurate. In a PICOT question, “I” stands for “Intervention”. It refers to the treatment or action that the researcher wants to study12.

D. “T” Prefers to the steps for planning the research: This is not accurate. In a PICOT question, “T” stands for “Time”. It refers to the time it takes for the intervention to achieve the outcome or how long patients are observed

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

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