A nurse is assessing a client who has a calcium level of 7.6 mg/dL. Which of the following findings should the nurse expect?

Hypertension

Muscle twitching

Bounding pulse.

Increased urine output

Answer and Explanation

The Correct Answer is B

A. Hypertension is not a typical finding of hypocalcemia. Instead, hypocalcemia can cause hypotension due to decreased myocardial contractility.
B. Muscle twitching is a common manifestation of hypocalcemia. Low calcium levels increase neuromuscular excitability, leading to twitching, tetany, and spasms.
C. A bounding pulse is not associated with hypocalcemia. Instead, hypocalcemia can cause weak, thready pulses due to decreased cardiac output.
D. Increased urine output is not a direct symptom of hypocalcemia. However, hypercalcemia can lead to polyuria due to its effect on the kidneys.

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Correct Answer is A

Explanation

A. Minimizing distractions helps children with ADHD focus better and improves concentration.
B. Writing by hand does not necessarily enhance concentration and may actually increase frustration for some children with ADHD.
C. A structured and predictable routine is beneficial for children with ADHD, so varying activities daily may be counterproductive.
D. Encouraging a child to read during an outdoor activity period may limit needed physical movement, which can help manage ADHD symptoms.

A. A client who is at 34 weeks of getation and reports double vision B. A client who is at 38 weeks of gestation and reports leg cramps C. A client who is at 8 weeks of gestation and reports excessive salivation D. A client who is at 24 weeks of gestation and reports periodic finger numbness

Correct Answer is A

Explanation

A. Double vision at 34 weeks of gestation is a potential sign of preeclampsia, which can lead to severe complications such as seizures (eclampsia), stroke, or organ damage. This client requires immediate assessment.
B. Leg cramps are common in late pregnancy due to pressure on nerves and changes in circulation. This is not an urgent concern.
C. Excessive salivation (ptyalism) is benign and can occur in early pregnancy due to hormonal changes. It does not require immediate assessment.
D. Periodic finger numbness is often due to carpal tunnel syndrome, a common non-urgent condition in pregnancy caused by fluid retention.

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A nurse is assessing a client who has a calcium level of 7.6 mg/dL. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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