A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL.
Which of the following findings should the nurse expect?
Negative Chvostek's sign.
Muscle tremors.
Dry, sticky mucous membranes.
Polyuria.
The Correct Answer is B
A calcium level of 8.0 mg/dL is below the normal range for adults, which is 8.8 to 10.4 mg/dL.
This condition is known as hypocalcemia and can cause muscle spasms and aches.
Choice A is incorrect because a positive Chvostek’s sign, not a negative one, is a clinical sign of hypocalcemia.
Choice C is incorrect because dry, sticky mucous membranes are not a symptom of hypocalcemia.
Choice D is incorrect because polyuria (frequent urination) is a symptom of hypercalcemia (high calcium levels), not hypocalcemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Activated charcoal should be given as soon as possible to help absorb the acetylsalicylic acid in the gastrointestinal tract.
Choice A is not an answer because N-acetylcysteine is used to treat acetaminophen overdose, not acetylsalicylic acid overdose.
Choice B is not an answer because chelation therapy with deferoxamine is used to treat iron poisoning, not acetylsalicylic acid overdose.
Choice D is not an answer because inducing vomiting with syrup of ipecac is no longer recommended for the treatment of poisoning due to the potential for harm and lack of evidence of benefit.
Correct Answer is A
Explanation
Nursing care planning goals for a child with acute glomerulonephritis are directed toward the excretion of excess fluid through urination.
Monitoring fluid status is very important and daily weights are an effective way to monitor fluid retention, as weight gain is the earliest sign of fluid retention.
Choice B, Educating the parents about potential complications, is important but not the nurse’s priority.
Choice C, Place the child on a no-salt-added diet, which may be part of the treatment
plan but is not the nurse’s priority.
Choice D, Maintaining a saline lock, may be necessary for administering medications but is not the nurse’s priority.
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