A nurse is monitoring laboratory values for a client who is receiving hemodialysis and has a serum calcium level of 7.2 mg/dL. For which of

Hyperactive deep tendon reflexes

Hypoactive bowel sounds

Positive Chvostek's sign

Lethargy

Answer and Explanation

The Correct Answer is C

Choice A: This is incorrect because hyperactive deep tendon reflexes are not associated with low serum calcium levels. Hyperactive deep tendon reflexes can indicate hypomagnesemia, hyperthyroidism, or spinal cord injury.

Choice B: This is incorrect because hypoactive bowel sounds are not associated with low serum calcium levels. Hypoactive bowel sounds can indicate ileus, peritonitis, or opioid use.

Choice C: This is correct because positive Chvostek's sign is associated with low serum calcium levels. Positive Chvostek's sign is a facial muscle spasm that occurs when tapping on the cheek near the ear. It indicates hypocalcemia, which can be caused by hemodialysis, renal failure, or parathyroid dysfunction.

Choice D: This is incorrect because lethargy is not associated with low serum calcium levels. Lethargy can indicate hypercalcemia, dehydration, hypoglycemia, or infection.

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Correct Answer is ["1.5"]

Explanation

The correct answer is 1.5 mL. Here is the explanation:

To calculate the amount of mL to administer, the nurse should use the following formula:

mL = (units ordered / units available) x mL available

Plugging in the values from the question, we get:

mL = (15,000 / 10,000) x 1

mL = 1.5 x 1

mL = 1.5

Therefore, the nurse should administer 1.5 mL of heparin with each dose.

A. Suction equipment B. Backboard C. Padded tongue blades D. Wrist restraints

Correct Answer is A

Explanation

Choice A: This is correct because suction equipment is essential for clearing the airway of secretions or vomitus during or after a seizure. The nurse should have suction equipment ready and accessible at the client's bedside at all times.

Choice B: This is incorrect because backboard is not needed for a client who has a seizure disorder. Backboard is used for immobilizing the spine in case of a suspected spinal injury.

Choice C: This is incorrect because padded tongue blades are not recommended for a client who has a seizure disorder. Padded tongue blades can cause injury to the teeth, gums, or tongue if inserted during a seizure. The nurse should never force anything into the mouth of a client who is having a seizure.

Choice D: This is incorrect because wrist restraints are not indicated for a client who has a seizure disorder. Wrist restraints can cause injury or skin breakdown if applied during a seizure. The nurse should never restrain or restrict the movements of a client who is having a seizure.

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A nurse is monitoring laboratory values for a client who is receiving hemodialysis and has a serum calcium level of 7.2 mg/dL. For which of

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1.5"]

Explanation

A nurse is assisting with the care of a client who has a seizure disorder. Which of the following supplies should the nurse have at the client's bedside at all times?

Correct Answer is A

Explanation

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