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Which clinical manifestation would the nurse expect in a patient with hypocalcemia?

Lethargy

Hypertension

Bone Pain

Positive Chvostek's Sign

Constipation

Answer and Explanation

The Correct Answer is D

(A) Lethargy: More common in hypercalcemia.

(B) Hypertension: Hypocalcemia is more likely to cause hypotension due to reduced contractility.

(C) Bone Pain: More common in hypercalcemia due to bone resorption.

(D) Positive Chvostek’s Sign: Facial twitching when tapping the facial nerve is a classic sign of hypocalcemia.

(E) Constipation: Hypocalcemia is associated with diarrhea, not constipation.

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"D"},"D":{"answers":"E"},"E":{"answers":"B"}}

Explanation

Syndrome of Inappropriate Antidiuretic Hormone (SIADH) → Hyponatremia

Excess ADH leads to water retention, diluting sodium levels.

Addison’s Disease → Hyperkalemia

Adrenal insufficiency leads to decreased aldosterone, causing potassium retention.

Hypoparathyroidism → Hypocalcemia

Lack of parathyroid hormone reduces calcium levels.

Diabetes Insipidus → Hypernatremia

Excessive water loss leads to sodium concentration increase.

Hyperparathyroidism → Hypercalcemia

Excess parathyroid hormone increases calcium release from bones.

A. Magnesium is 2.0 mEq/L B. Sodium Level is 136 mEq/L C. Calcium is 10.1 mEq/L D. Potassium Level is 6.1mEq/L

Correct Answer is D

Explanation

(A) Magnesium is 2.0 mEq/L: Normal range (1.5-2.5 mEq/L), not concerning.

(B) Sodium Level is 136 mEq/L: Normal range (135-145 mEq/L), no immediate risk.

(C) Calcium is 10.1 mEq/L: Normal range (8.5-10.5 mEq/L), not a concern.

(D) Potassium Level is 6.1 mEq/L: Spironolactone is a potassium-sparing diuretic, and hyperkalemia can lead to life-threatening cardiac arrhythmias.

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Which clinical manifestation would the nurse expect in a patient with hypocalcemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Match the following conditions to the associated primary electrolyte imbalance:

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"D"},"D":{"answers":"E"},"E":{"answers":"B"}}

Explanation

Which finding is most concerning in a patient receiving spironolactone?

Correct Answer is D

Explanation

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