A nurse is collecting data from a patient who has hypocalcemia. Which of the following findings should the nurse expect?
Hypoactive bowel sounds
Tingling of the lips
Decreased deep tendon reflexes
Skeletal muscle weakness
The Correct Answer is B
Choice A reason: Hypoactive bowel sounds are not typically associated with hypocalcemia.
Choice B reason: Tingling of the lips, also known as paresthesia, is a common symptom of hypocalcemia due to the effect of low calcium levels on nerve function.
Choice C reason: Decreased deep tendon reflexes are more commonly associated with hypercalcemia, not hypocalcemia.
Choice D reason: Skeletal muscle weakness can be a symptom of severe hypocalcemia, but tingling of the lips is a more immediate and common finding.
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Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Elevating the patient in a high Fowler's position can help improve lung expansion and oxygenation, and using an incentive spirometer along with coughing can help prevent atelectasis and pneumonia, which are common postoperative complications.
Choice B reason: Increasing oxygen to 70% without a specific indication could lead to oxygen toxicity, especially without assessing the patient's current oxygenation status.
Choice C reason: Switching to a rebreather mask is not indicated based on the given ABG results and could lead to CO2 retention.
Choice D reason: Positioning the patient prone and performing postural drainage are not typically first-line interventions for a patient one day post-thoracotomy and could be contraindicated due to the recent surgery.
Correct Answer is C
Explanation
Choice A reason: Atropine is used to treat bradycardia and is not an antidote for warfarin overdose.
Choice B reason: Protamine is used to reverse the effects of heparin, not warfarin.
Choice C reason: Vitamin K is the antidote for warfarin overdose as it helps in the synthesis of clotting factors that warfarin inhibits.
Choice D reason: Epinephrine is used for severe allergic reactions and cardiac arrest, not as an antidote for warfarin overdose.
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