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 D

Explanation

Choice A reason: While opioids can lower blood pressure, it is not as common as respiratory depression.

Choice B reason: Causing drowsiness is a common side eﬀect of opioids, but it is less critical than respiratory eﬀects.

Choice C reason: Opioids do not typically induce a cough; they may actually suppress coughing.

Choice D reason: Opioids can slow the respiratory rate, which is a critical side eﬀect that nurses must monitor for and educate patients about.

A. Discuss pain management with the client. B. Explain the need for sequential compression devices. C. Review the policy with the client and family. D. Ensure the operative site has been secured.

Correct Answer is B

Explanation

Choice A reason: Discussing pain management is important for patient comfort but does not directly prevent postoperative complications.
Choice B reason: Sequential compression devices are used to prevent deep vein thrombosis, a common postoperative complication, making this the correct answer.
Choice C reason: Reviewing policy with the client and family is part of the overall care but is not specific to preventing postoperative complications.
Choice D reason: Ensuring the operative site has been secured is a procedural task and does not directly prevent postoperative complications.

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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

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient during the immediate postoperative period following major abdominal surgery. When administering an opioid analgesic for pain, the nurse should explain that the medication may have which of the following eﬀects?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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