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

Decreased deep-tendon reflexes.

Skeletal muscle weakness.

Hypoactive bowel sounds.

Tingling of the lips.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Decreased deep-tendon reflexes are not a common symptom of hypocalcemia. Normal calcium levels in the blood range from 8.5 to 10.2 mg/dL1.

Choice B rationale:

Skeletal muscle weakness is a symptom of hypercalcemia, not hypocalcemia.

Choice C rationale:

Hypoactive bowel sounds are associated with hypercalcemia, not hypocalcemia.

Choice D rationale:

Tingling of the lips is a common symptom of hypocalcemia. This occurs due to increased excitability of the nerves.

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Correct Answer is B

Explanation

Choice A rationale:

Hyperventilation is a compensatory mechanism for metabolic acidosis, not a cause. It helps to eliminate carbon dioxide, a weak acid, to balance the pH.

Choice B rationale:

Diarrhea causes loss of bicarbonate, a base, from the body. This can lead to metabolic acidosis as there is an excess of acids.

Choice C rationale:

Salicylate intoxication can cause both respiratory alkalosis and metabolic acidosis. However, it is not the most common cause of metabolic acidosis.

Choice D rationale:

Vomiting leads to loss of gastric acid, a strong acid. This usually results in metabolic alkalosis, not acidosis.

A. Complete two cycles of compression/rescue breathing before attaching the automated external defibrillator (AED) B. Provide chest compressions at a rate of 100/min. C. Check for a brachial pulse. D. After a set of 50 compressions, give the client 2 rescue breaths.

Correct Answer is B

Explanation

Choice A rationale:

While it’s important to start CPR as soon as possible, the AED should be attached as soon as it’s available.

Choice B rationale:

The American Heart Association recommends providing chest compressions at a rate of 100-120/min during CPR.

Choice C rationale:

Checking for a brachial pulse is not a priority during CPR. The focus should be on providing chest compressions and rescue breaths.

Choice D rationale:

The correct ratio of compressions to breaths during CPR is 30:2, not 50:2.

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