The nurse is caring for a child with hypoparathyroidism who exhibits a carpal spasm when pressure is applied to the upper arm. Which laboratory value should the nurse review?
Sodium
Calcium
Potassium
Chloride
The Correct Answer is B
Choice A rationale
Sodium levels are not typically affected by hypoparathyroidism. Hypoparathyroidism primarily affects calcium and phosphorus levels in the body.
Choice B rationale
Hypoparathyroidism leads to abnormally low levels of parathyroid hormone, which results in low calcium levels in the blood. A carpal spasm when pressure is applied to the upper arm, also known as Trousseau’s sign, is a common symptom of hypocalcemia.
Choice C rationale
Potassium levels are not typically affected by hypoparathyroidism. Hypoparathyroidism primarily affects calcium and phosphorus levels in the body.
Choice D rationale
Chloride levels are not typically affected by hypoparathyroidism. Hypoparathyroidism primarily affects calcium and phosphorus levels in the body.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The initial phase of treatment for a school-age child with left femoral osteomyelitis involves ensuring no weight-bearing on the affected extremity. This is crucial because weight bearing can exacerbate the condition and cause further damage to the bone. The child should be encouraged to rest and avoid activities that put pressure on the affected limb. This measure, combined with appropriate antibiotic therapy, helps to control the infection and prevent complications.
Choice B rationale
Administering topical antibiotic therapy daily is not typically the primary mode of treatment for osteomyelitis. Osteomyelitis is a deep bone infection, and topical antibiotics may not reach the site of infection effectively. Instead, systemic antibiotics are usually administered intravenously, especially in the initial phase of treatment.
Choice C rationale
Scheduling ice pack applications to the infected area is not a standard treatment for osteomyelitis. While ice packs can help reduce inflammation and pain in some conditions, they are not typically used in the management of osteomyelitis. The primary treatment for osteomyelitis is antibiotic therapy.
Choice D rationale
Providing a passive range of motion exercises is not typically part of the initial phase of treatment for osteomyelitis. While physical therapy and exercises can be beneficial in the recovery phase to restore function and mobility, they are not usually recommended in the initial phase when the infection is active and the bone is inflamed.
Correct Answer is A
Explanation
Choice A rationale
In evaluating a preschool-aged child presenting with symptoms of flank pain, dysuria, and a low-grade fever for a possible urinary tract infection (UTI), the nurse should obtain additional information from the parent about the frequency of urination. Increased frequency of urination is a common symptom of UTI in children.
Choice B rationale
While dietary changes can affect the color and odor of urine, they are not typically associated with the symptoms of a UTI.
Choice C rationale
Unusual odors in the urine can be a sign of a UTI. However, this symptom alone is not definitive for a UTI and should be considered in conjunction with other symptoms and findings.
Choice D rationale
Changes in the color of the urine can be a sign of a UTI, as the urine may appear cloudy or have a pink or red color due to the presence of blood. However, this symptom alone is not definitive for a UTI and should be considered in conjunction with other symptoms and findings.
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