A client with a malabsorption syndrome has a low serum calcium level. The practical nurse should monitor the client for which problem?
Pallor.
Bruising.
Tetany.
Jaundice.
The Correct Answer is C
A. Pallor is not directly related to low serum calcium levels. It may indicate anemia or other conditions, but it is not a primary concern for hypocalcemia.
B. Bruising is generally associated with clotting issues or trauma, not specifically with low serum calcium. Low calcium can affect clotting, but bruising is not a direct or primary symptom of hypocalcemia.
C. Tetany, which includes symptoms like muscle spasms, twitching, and numbness, is a key indicator of low serum calcium levels. Monitoring for tetany is essential in managing clients with malabsorption syndrome who have hypocalcemia.
D. Jaundice is a sign of liver dysfunction or hemolysis, not directly related to low calcium levels. Low serum calcium is not typically associated with jaundice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.6"]
Explanation
- Medication dose: 30 mg enoxaparin
- Medication concentration: 30 mg per 0.3 mL (prefilled syringe)
- Frequency: Every 12 hours
- Duration: 10 days
Calculation:
- Injections per day: Since the medication is given every 12 hours, the client will receive injections 2 times per day (24 hours / 12 hours/injection).
- Total medication per day: To find the total amount of enoxaparin needed per day, multiply the single injection dose by the number of injections:
Total enoxaparin/day = Dose per injection x Number of injections/day = 30 mg/injection x 2 injections/day = 60 mg/day
- Volume of medication per day: Now, we need to find the volume of solution needed to deliver the total daily dose (60 mg) based on the medication concentration (30 mg/0.3 mL). We can achieve this with a proportion:
Volume (mL) / Total dose (mg) = Concentration (mg/mL)
Volume (mL) = (Total dose (mg) x Concentration (mL/mg)) / Concentration (mg/mL)
Plugging in the values:
Volume (mL) = (60 mg x 0.3 mL/mg) / 30 mg/mL
Volume (mL) = 18 mL / 30 mL/mL
Simplifying:
Volume (mL) = 0.6 mL
Therefore, the practical nurse (PN) should administer 0.6 mL of enoxaparin each day.
Correct Answer is A
Explanation
A. Instructing the UAP to lower the bed for safety is the correct action. The bed should be in a low position to prevent falls and ensure safety during client care activities.
B. Determining if the UAP would like assistance is not the most effective immediate action. The priority is to address the safety concern of the bed position rather than offering assistance.
C. Remaining in the room to supervise the UAP is less effective than directly addressing the safety issue. The bed should be in the proper position for safe client care.
D. Assuming care of the client immediately is not necessary unless there are additional concerns about the client's well-being. The primary action should be to correct the unsafe practice of the bed position.
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