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 B

Explanation

Rationale:

A. Call the nurse who made the error to discuss the medication error – This is not the appropriate action. The focus should be on client safety and proper reporting, not on discussing the error with the previous nurse.

B. File an incident report within 24 hr – This is the correct action. Incident reports should be completed promptly to document the error and ensure proper follow-up.

C. Notify the facility's pharmacist within 1 hr of the incident – While the pharmacist may be informed if a medication reversal or adjustment is needed, this is not the primary action to take.

D. Place an incident report in the client’s medical record – Incident reports are internal documents and should not be placed in the medical record to avoid legal concerns.

A. "I will be sure that all of my bottles contain BPA." B. "I can keep a can of concentrated formula in the refrigerator for 3 days after I open it." C. "I should boil tap water for 2 minutes and cool it before I mix it with the powdered formula." D. "I can dilute the ready-to-feed formula with water when my baby wants more than 4 ounces at a feeding."

Correct Answer is C

Explanation

A. BPA (bisphenol A) is harmful, and bottles should be BPA-free.

B. Concentrated formula should be used within 24–48 hours after opening if refrigerated, not 3 days.

C. This is the correct answer. Boiling tap water for 1–2 minutes and cooling it before mixing with powdered formula helps eliminate bacteria, ensuring safe consumption for newborns.

D. Diluting ready-to-feed formula is unsafe and can lead to inadequate nutrition for the baby.

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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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