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
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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Related Questions
Correct Answer is C
Explanation
Acute respiratory acidosis occurs when there is inadequate excretion of carbon dioxide due to respiratory dysfunction, leading to an increase in carbon dioxide levels (hypercapnia) and subsequent acidosis (decrease in pH).
Manifestations of acute respiratory acidosis include:
A. Circumoral numbness and tingling - This is associated with respiratory alkalosis, not acidosis. B. Muscle flaccidity - This is more commonly seen in hyperkalemia or conditions affecting neuromuscular transmission. C. Decreased level of consciousness - This is a key manifestation of acute respiratory acidosis due to the effects of hypercapnia on the central nervous system. D. Cool, clammy skin - This is not typically associated with acute respiratory acidosis; instead, it might be seen in shock or hypoperfusion states.
Therefore, the nurse should expect to find a decreased level of consciousness in a client experiencing acute respiratory acidosis.
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.
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