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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ensure that the client gave informed consent. Confirming that the client has provided informed consent is a critical step before any invasive procedure, including an esophagogastroduodenoscopy (EGD). The nurse should ensure that the client understands the procedure, its risks, benefits, and any alternatives before the procedure begins.
B. Administer an oral contrast solution. Oral contrast is typically not used for an EGD, as the procedure involves direct visualization of the esophagus, stomach, and duodenum. Instead, the client may need to follow specific dietary restrictions prior to the procedure, such as fasting.
C. Ensure that the client's bladder is full. A full bladder is not required for an EGD. In fact, it is more important for the client to be in a comfortable position and relaxed during the procedure. An empty stomach is preferred to reduce the risk of aspiration.
D. Inform the client the procedure will take 60 min. While informing the client about the duration of the procedure is important, the exact time can vary. Providing a range or informing the client that the procedure may take some time is more appropriate, as it helps manage expectations without causing unnecessary anxiety.
Correct Answer is B
Explanation
A. Medical health insurance claims. While insurance coverage is important for referral approval, the physical therapist primarily requires clinical information related to the client's mobility and functional status. Insurance details are handled by administrative staff rather than included in the clinical referral.
B. Physical assessment findings. The physical therapist needs relevant assessment findings, such as muscle strength, range of motion, balance, gait, and mobility limitations. These details help guide therapy goals and interventions to improve the client’s functional abilities.
C. Family medical history. While family history is useful for identifying genetic predispositions to conditions, it is not essential for a physical therapy referral. The focus should be on the client’s current physical status rather than hereditary factors.
D. Medications taken prior to admission. Although a client’s medication history is important for overall care, it is not the primary concern for a physical therapy referral unless specific medications affect mobility, such as muscle relaxants or sedatives. The therapist will rely more on current physical assessment findings to determine appropriate interventions.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
