A client is diagnosed with hypercalcemia.
Which of the following clinical manifestations would the nurse expect to observe (Select all that apply).
Muscle spasms.
Confusion.
Constipation.
Bradycardia.
Polyuria.
Correct Answer : B,C,D
Hypercalcemia is a condition in which the calcium level in the blood is above normal.
This can cause various symptoms, such as confusion, constipation, and bradycardia (slow heart rate).
These are the clinical manifestations that the nurse would expect to observe in a client with hypercalcemia.
Choice A is wrong because muscle spasms are not a common symptom of hypercalcemia.
In fact, hypercalcemia can cause muscle weakness and pain.
Choice E is wrong because polyuria (excessive urination) is not a direct symptom of hypercalcemia, but rather a result of kidney problems caused by hypercalcemia.
Hypercalcemia can make the kidneys work harder to filter the excess calcium, leading to dehydration and thirst.
However, this does not necessarily mean that the client will have polyuria.
Normal ranges for calcium levels in the blood are 8.5 to 10.2 mg/dL (milligrams per deciliter) or 2.1 to 2.6 mmol/L (millimoles per liter).
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Related Questions
Correct Answer is B
Explanation
Hyponatremia is a condition where sodium levels in your blood are lower than normal. This can cause symptoms such as nausea, headache, confusion, muscle weakness and seizures. A hypertonic saline solution is a fluid that has a higher concentration of sodium than normal blood. It can help restore the sodium balance and prevent or treat the complications of hyponatremia.
Choice A is wrong because restricting fluid intake may not be enough to correct severe hyponatremia and may worsen the symptoms if the cause is sodium loss.
Choice C is wrong because encouraging increased fluid intake may further dilute the sodium levels and worsen the condition.
Choice D is wrong because administering a loop diuretic may increase the urine output and cause more sodium loss, leading to more severe hyponatremia.
Normal ranges for blood sodium levels are between 135 and 145 milliequivalents per liter (mEq/L).
Correct Answer is C
Explanation
This is because acute renal failure is a condition where the kidneys lose their ability to filter waste and excess fluid from the blood. This can lead to fluid overload, electrolyte imbalances, and metabolic acidosis. Therefore, the nurse should monitor the patient’s urine output and fluid balance to assess the severity of the renal impairment and prevent complications.
Choice A is wrong because administering a potassium-sparing diuretic would worsen the patient’s hyperkalemia, which is a common complication of acute renal failure.
Choice B is wrong because encouraging the patient to consume a high-sodium diet would increase the patient’s fluid retention and blood pressure, which can further damage the kidneys.
Choice D is wrong because administering intravenous antibiotics is not a priority intervention for acute renal failure unless there is a specific indication of infection.
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