A nurse is collecting data from a client who has hypomagnesemia. Which of the following findings should the nurse identify as a positive Chvostek's sign?
Image A
Image B
Image A
Image B
The Correct Answer is A
A. Chvostek's sign is a clinical sign observed during physical examination that may indicate hypocalcemia. It is elicited by tapping or lightly striking the facial nerve just anterior to
the earlobe, which can cause twitching of the facial muscles, particularly the muscles around the mouth and nose.
B. This image shows winging of the scapula. Winging of the scapula, also known as
scapular winging, is a condition characterized by the abnormal protrusion or prominence of the scapula away from the back wall of the thorax. Normally, the scapula lies flat
against the rib cage, providing stability and support for arm movements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Limiting snacks between meals may further decrease the client's overall food intake, which could exacerbate the risk of malnutrition.
B. Providing the client with finger foods makes eating more manageable for individuals with dementia who may have difficulty using utensils or maintaining attention during meals. This approach encourages independent eating and may increase food intake.
C. Restricting visitors during meals may lead to social isolation and could interfere with the client's enjoyment of mealtime, potentially further reducing food intake.
D. Providing the client with three large meals each day may be overwhelming and may not align with the client's preferences or eating habits. Offering smaller, more frequent meals throughout
the day is often more manageable for individuals with dementia.
Correct Answer is C
Explanation
A. While poorly fitting dentures can affect nutrition and overall health, they are not immediately life-threatening and do not represent the most urgent concern.
B. This could be a sign of emotional distress or loneliness, but it is not necessarily an urgent issue requiring immediate intervention.
C. Sedentary behavior in older adults is a priority concern because it increases the risk of various health problems, including cardiovascular disease, muscle atrophy, and decreased mobility. Prolonged inactivity can also contribute to the development of conditions like deep vein thrombosis (DVT) and pressure ulcers.
D. Although having no living family may contribute to social isolation and potential support needs, it is not as immediately critical as the potential physical health risks associated with a sedentary lifestyle.
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