A nurse is reviewing the laboratory results of a client who has hypothyroidism. The client's calcium level is 7.6 mg/dL. When assessing the client, which of the following findings should the nurse expect?

Muscle twitching

Hypertension

Bounding pulse

Hypoactive bowel sounds

Answer and Explanation

The Correct Answer is A

A. Muscle twitching – Hypocalcemia (normal range: 8.5–10.5 mg/dL) causes neuromuscular excitability, leading to muscle twitching, tetany, and positive Chvostek's and Trousseau's signs.

B. Hypertension – Hypocalcemia does not cause hypertension; instead, it may lead to hypotension.

C. Bounding pulse – Hypocalcemia does not cause a bounding pulse; it may cause weak and irregular pulses.

D. Hypoactive bowel sounds – Hypocalcemia is more likely to cause hyperactive bowel sounds and diarrhea rather than hypoactive bowel sounds.

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Correct Answer is C

Explanation

A. A hemoglobin level of 12 g/dL is within the expected range for an infant.

B. An iron level of 74 mcg/dL is normal for a 9-month-old.

C. This is the correct answer. A lead level of 18 mcg/dL is elevated (≥5 mcg/dL is concerning) and should be reported, as lead toxicity can lead to neurological damage.

D. A hematocrit of 35% is within the expected range for an infant.

A. "You might notice some changes in your voice after the procedure." B. "You might feel a bit confused for a few hours after the procedure." C. "You'll wake up about 30 minutes after the procedure." D. "You can expect to feel some pulsations in your neck during the procedure."

Correct Answer is B

Explanation

A. ECT does not typically affect a client’s voice.

B. This is the correct answer. A common side effect of ECT is short-term confusion and memory impairment, which can last for minutes to a few hours after the procedure.

C. Most clients wake up within a few minutes, not 30 minutes.

D. Clients do not typically feel pulsations in the neck during the procedure since they are under anesthesia and muscle relaxants are used.

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A nurse is reviewing the laboratory results of a client who has hypothyroidism. The client's calcium level is 7.6 mg/dL. When assessing the client, which of the following findings should the nurse expect?

Nursing Test Bank

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