A nurse is assessing a client who has received treatment for hypocalcemia. Which of the following findings indicates the treatment has been effective?

Moist mucous membranes

Negative Chvostek's sign

Weight gain

Urine output 25 mL/hr

Answer and Explanation

The Correct Answer is B

A. Moist mucous membranes: While moist mucous membranes may indicate adequate hydration, they are not specific to the treatment of hypocalcemia. The goal of hypocalcemia treatment is to correct calcium levels in the body, which would be reflected by the resolution of clinical signs related to low calcium, such as Chvostek's sign.
B. Negative Chvostek's sign: Chvostek's sign is a clinical sign that suggests hypocalcemia, where tapping the facial nerve causes twitching of the facial muscles. A negative Chvostek's sign indicates that calcium levels have normalized, meaning the treatment for hypocalcemia has been effective. The absence of this sign is a reliable indicator that the treatment has corrected the calcium deficiency.
C. Weight gain: Weight gain is not a typical or direct indicator of hypocalcemia treatment success. While some treatments for hypocalcemia might impact overall metabolism, weight gain is not a specific or reliable sign of calcium normalization. The most relevant sign would be the absence of symptoms related to calcium deficiency, such as a negative Chvostek’s sign.
D. Urine output 25 mL/hr: Urine output of 25 mL/hr is below the normal threshold, which is typically at least 30 mL/hr. While urine output can be affected by various factors, it is not a reliable marker for effective treatment of hypocalcemia. Treatment success is better assessed by signs related to calcium levels, such as the negative Chvostek’s sign, rather than urine output.

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Correct Answer is B

Explanation

A. Initiate a low-protein diet: A low-protein diet is inappropriate for burn clients, who require increased protein to support wound healing, tissue regeneration, and immune function. Protein needs are significantly elevated in clients with burns.
B. Provide a vitamin C supplement: Vitamin C supports collagen synthesis, promotes wound healing, and enhances immune function. Clients with partial-thickness burns benefit from supplementation to aid skin repair and recovery.
C. Administer a potassium-sparing diuretic: Diuretics are generally avoided in the early stages of burn care due to fluid shifts and risk of hypovolemia. Fluid resuscitation is prioritized to stabilize hemodynamics and maintain organ perfusion.
D. Limit zinc intake: Zinc plays a critical role in tissue healing and immune support. Limiting zinc would be counterproductive; burn clients often require additional zinc to meet increased metabolic demands.

A. Cheese B. Grapes C. Plain popcorn D. Raw carrots

Correct Answer is A

Explanation

A. Cheese: Cheese is a developmental and nutritious snack for a 30-month-old toddler. It provides essential nutrients such as calcium and protein, which support bone development and growth. Cheese is also soft in texture and easy to chew, minimizing the risk of choking. Additionally, it can be cut into small, manageable pieces that are safe for toddlers to eat independently.
B. Grapes: Whole grapes are a choking hazard for children under the age of 4 due to their round shape and slippery texture. Even though they are nutritious, they should be cut into small, lengthwise pieces before offering them to toddlers. Offering whole grapes to a 30-month-old toddler puts the child at significant risk of aspiration or airway obstruction.
C. Plain popcorn: Popcorn is not safe for toddlers because it poses a high risk of choking. Its texture can be difficult for young children to chew thoroughly, and unpopped kernels or sharp edges can block or irritate the airway. Health authorities recommend avoiding popcorn until children are older and can chew food more effectively.
D. Raw carrots: Raw carrots are firm and hard to chew, making them a common choking hazard for toddlers. Unless they are cooked until soft or grated finely, they should not be given to young children. A 30-month-old toddler may not yet have the molar teeth or chewing coordination needed to handle raw vegetables safely.

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A nurse is assessing a client who has received treatment for hypocalcemia. Which of the following findings indicates the treatment has been effective?

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