A nurse is assisting with the care of a patient who has hypocalcemia. For which of the following signs should the nurse monitor?

Trousseau's sign

Carpopedal spasm

Chvostek's sign

Korsakoﬀ's psychosis

Answer and Explanation

Correct Answer : A,B,C

Choice A reason: Trousseau's sign is indicative of hypocalcemia and is elicited by inﬂating a blood pressure cuﬀ on the arm.

Choice B reason: Carpopedal spasm is a muscular spasm involving the hands and feet that can occur with hypocalcemia.

Choice C reason: Chvostek's sign is a facial twitching that occurs when tapping on the facial nerve in front of the ear, which can be a sign of hypocalcemia.

Choice D reason: Korsakoﬀ's psychosis is associated with chronic alcoholism and thiamine deficiency, not directly with hypocalcemia.

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Correct Answer is B

Explanation

Choice A reason: Hypoactive bowel sounds are not typically associated with hypocalcemia.

Choice B reason: Tingling of the lips, also known as paresthesia, is a common symptom of hypocalcemia due to the eﬀect of low calcium levels on nerve function.

Choice C reason: Decreased deep tendon reﬂexes are more commonly associated with hypercalcemia, not hypocalcemia.

Choice D reason: Skeletal muscle weakness can be a symptom of severe hypocalcemia, but tingling of the lips is a more immediate and common finding.

A. Hyperactive bowel sounds B. Decreased deep tendon reﬂexes C. Cerebral edema D. Weakening

Correct Answer is B

Explanation

Choice A reason: Hyperactive bowel sounds are not typically associated with hyperkalemia, which is a high level of potassium in the blood.

Choice B reason: Decreased deep tendon reﬂexes can be a sign of hyperkalemia, as high potassium levels can aﬀect neuromuscular function.

Choice C reason: Cerebral edema is not a direct manifestation of hyperkalemia; it is more commonly associated with other conditions such as traumatic brain injury or stroke.

Choice D reason: Weakening, or muscle weakness, can be a symptom of hyperkalemia, but it is less specific than decreased deep tendon reﬂexes.

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A nurse is assisting with the care of a patient who has hypocalcemia. For which of the following signs should the nurse monitor?

Nursing Test Bank

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