The nurse is assessing a client with hypocalcemia.
What clinical manifestation would the nurse expect to note in this client?
Positive Trousseau's sign.
Hyperactive deep tendon reflexes.
Hyperactive bowel sounds.
Muscle twitching.
The Correct Answer is A
Trousseau’s sign is a test for hypocalcemia that involves inflating a blood pressure cuff on the arm and observing for carpal spasm. A positive sign indicates low calcium levels in the blood, which can cause neuromuscular irritability.
Choice B is wrong because hyperactive deep tendon reflexes are a sign of hypomagnesemia, which is a low level of magnesium in the blood.
Choice C is wrong because hyperactive bowel sounds are a sign of hyperkalemia, which is a high level of potassium in the blood.
Choice D is wrong because muscle twitching can be caused by many factors, such as anxiety, caffeine, or electrolyte imbalance, and is not specific to hypocalcemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Oral potassium supplements can cause stomach irritation or laxative effect if taken without enough fluid or food.
Taking the medication with food or a full glass of water can help prevent these side effects and improve absorption.
Choice B is wrong because taking the medication on an empty stomach with a sip of water can increase the risk of stomach irritation or laxative effect and reduce absorption.
Choice C is wrong because taking the medication with milk or antacids can interfere with the absorption of potassium and cause hyperkalemia (high blood potassium levels).
Choice D is wrong because taking the medication with grapefruit juice can also interfere with the absorption of potassium and cause hyperkalemia.
Grapefruit juice can also interact with some medications that affect potassium levels, such as angiotensin-converting enzyme (ACE) inhibitors and potassium- sparing diuretics.
Correct Answer is D
Explanation
Protein intake can increase the excretion of calcium and oxalate in the urine, which can promote the formation of calcium oxalate stones. The client should limit animal protein sources, such as meat, poultry, fish, eggs, and dairy products.
Choice A is wrong because purine-rich foods, such as organ meats, shellfish, and beer, can increase the production of uric acid, which can cause uric acid stones.
Choice B is wrong because a low-calcium diet can increase the absorption of oxalate in the intestine, which can increase the risk of calcium oxalate stones.
The client should consume a moderate amount of calcium from dietary sources, such as milk, cheese, yogurt, and green leafy vegetables.
Choice C is wrong because potassium-rich foods, such as bananas, oranges, potatoes, and tomatoes, can help prevent calcium oxalate stones by increasing the urinary pH and citrate levels.
The client should consume adequate amounts of potassium from dietary sources.
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