A nurse is collecting data from a client who has hypoparathyroidism. Which of the following findings should the nurse expect?
Negative Chvostek’s sign
Flaccid muscles
Numbness of the hands
Hypercalcemia
The Correct Answer is C
Choice A: Negative Chvostek’s sign is the absence of facial twitching when the facial nerve is tapped. This is a normal finding and does not indicate hypoparathyroidism. A positive Chvostek’s sign is a sign of hypocalcemia, which can occur in hypoparathyroidism.
Choice B: Flaccid muscles are weak and limp muscles that lack tone and resistance. This is not a typical finding of hypoparathyroidism, as low levels of parathyroid hormone can cause muscle spasms, cramps, and tetany.
Choice C: Numbness of the hands is a common finding of hypoparathyroidism, as low levels of parathyroid hormone can cause hypocalcemia, which affects the nerve function and sensation. Numbness can also occur in the feet, lips, and tongue.
Choice D: Hypercalcemia is a high level of calcium in the blood. This is not a finding of hypoparathyroidism, as low levels of parathyroid hormone can cause hypocalcemia, which is a low level of calcium in the blood. Hypercalcemia can be a sign of hyperparathyroidism, which is the opposite condition of hypoparathyroidism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: “I will feel shaky.” This is a correct statement, as shakiness is a common manifestation of hypoglycemia, which is a low blood glucose level. Hypoglycemia can cause the sympathetic nervous system to release adrenaline, which can cause tremors, nervousness, and anxiety.
Choice B: “My skin will be warm and moist.” This is an incorrect statement, as warm and moist skin is not a typical manifestation of hypoglycemia. Warm and moist skin can be a sign of hyperglycemia, which is a high blood glucose level. Hyperglycemia can cause dehydration, which can lead to sweating and flushing.
Choice C: “I will be more thirsty than usual.” This is an incorrect statement, as thirst is not a typical manifestation of hypoglycemia. Thirst can be a sign of hyperglycemia, which can cause dehydration, as the body tries to flush out excess glucose through urine.
Choice D: “My appetite will be decreased.” This is an incorrect statement, as decreased appetite is not a typical manifestation of hypoglycemia. Decreased appetite can be a sign of other conditions, such as nausea, infection, or depression. Hypoglycemia can cause increased hunger, as the body needs more glucose to function properly.
Correct Answer is B
Explanation
Choice A: “I put lotion between my toes.” This is incorrect because putting lotion between the toes can create a moist environment that promotes fungal growth and infection. The client should apply lotion to the tops and botoms of the feet, but avoid the areas between the toes.
Choice B: “I check my feet every day for sores and bruises.” This is correct because checking the feet every day for any signs of injury, infection, or ulceration is an important part of foot care for a client who has diabetes mellitus. The client should also report any problems to the provider and seek prompt treatment.
Choice C: “I wear sandals in warm weather.” This is incorrect because wearing sandals can expose the feet to injury, sunburn, or insect bites. The client should wear closed-toe shoes that fit well and protect the feet from trauma and environmental hazards.
Choice D: “I soak my feet in warm, soapy water every night before I go to bed.” This is incorrect because soaking the feet can cause maceration of the skin and increase the risk of infection. The client should wash the feet with mild soap and warm water, but not soak them. The client should also dry the feet thoroughly, especially between the toes.
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