A nurse is monitoring a client who was admitted for hypocalcemia. Which of the following findings should the nurse expect?

Positive Chvostek's sign

Hypotension

Confusion

Positive Babinski reflex

Answer and Explanation

The Correct Answer is A

A. Positive Chvostek's sign. Hypocalcemia increases neuromuscular excitability, leading to involuntary twitching of facial muscles when the facial nerve is tapped. This sign is a well-known indicator of calcium deficiency and reflects heightened nerve sensitivity.
B. Hypotension. While severe hypocalcemia can affect cardiovascular function, hypotension is not a primary or consistent finding. More commonly, calcium imbalances affect muscle contractions rather than directly causing low blood pressure.
C. Confusion. Hypocalcemia can cause neurological symptoms, but confusion is more common in severe or prolonged cases. Early manifestations are usually neuromuscular, such as tetany or muscle cramps, rather than cognitive impairment.
D. Positive Babinski reflex. This reflex is associated with upper motor neuron dysfunction and neurological disorders rather than electrolyte imbalances like hypocalcemia. Calcium deficiency primarily affects peripheral nerves and muscle excitability.

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Correct Answer is B

Explanation

A. Completely undress the toddler. Toddlers may feel vulnerable when fully undressed. It is best to remove clothing gradually, assessing one area at a time, to promote comfort and reduce anxiety.
B. Allow the toddler to handle the equipment. Letting the toddler touch and explore medical equipment, such as a stethoscope or otoscope, helps reduce fear and increases cooperation during the examination. This approach fosters a sense of control and familiarity.
C. Thoroughly explain each procedure to the toddler. Toddlers have limited understanding and attention spans. Simple, short explanations and distraction techniques are more effective in easing anxiety than detailed explanations.
D. Start the examination with routine immunizations. Painful procedures, such as vaccinations, should be saved for the end of the visit to prevent distress and resistance that could interfere with the rest of the examination.

A. Sputum characteristics B. Respiratory complaint C. Blood pressure D. Heart rate Temperature E. Weight F. Travel history G. Oxygen saturation

Correct Answer is ["A","B","E","F"]

Explanation

A. Sputum characteristics. The presence of blood-tinged sputum raises concern for tuberculosis (TB) or another serious pulmonary condition, requiring further evaluation. Hemoptysis can indicate active infection or cavitary lung disease.
B. Respiratory complaint. The client reports a persistent, productive cough, night sweats, and fatigue, which are hallmark symptoms of TB. These symptoms, combined with recent travel to a TB-endemic region, increase the likelihood of infection and warrant further assessment.
C. Blood pressure. The client’s blood pressure is within the normal range and does not indicate an immediate concern requiring further evaluation.
D. Heart rate. A heart rate of 98/min is elevated but still within an acceptable range for mild illness or fever. While tachycardia can be associated with infection, it is not the most critical finding requiring urgent follow-up.
E. Temperature. A temperature of 38.1°C (100.5°F) indicates a low-grade fever, which is a common sign of TB or other infections. Given the client's symptoms and history, this finding warrants further investigation.
F. Travel history. The client recently traveled to South Africa, a region with a high prevalence of TB. Travel history is a crucial factor in determining TB risk and must be considered in the diagnostic process.
G. Oxygen saturation. The client’s oxygen saturation is 98% on room air, which is within normal limits and does not require further evaluation at this time.

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A nurse is monitoring a client who was admitted for hypocalcemia. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a toddler during a well-child visit. Which of the following actions should the nurse take to prepare the toddler for a physical examination?

Correct Answer is B

Explanation

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Correct Answer is ["A","B","E","F"]

Explanation

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