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 ["A","C","D","E"]

Explanation

Choice A reason: Performing deep breathing exercises every 2 hours helps prevent postoperative complications such as pneumonia and atelectasis.

Choice B reason: While chest movement is part of breathing, the instruction is incomplete and should emphasize diaphragmatic breathing rather than shoulder movement.

Choice C reason: Taking a deep breath before coughing helps to increase the eﬀectiveness of the cough, which can clear secretions from the lungs.

Choice D reason: Sitting up straight before beginning coughing exercises helps to ensure maximum lung expansion and eﬀectiveness of the cough.

Choice E reason: Using a pillow to support the surgical area when coughing can help reduce pain and protect the incision site, making the cough more eﬀective.

A. The patient who has advance directives B. The patient's son, who has a durable power of atorney C. The patient's daughter, who is the primary caregiver D. The patient's nurse, who assists with care

Correct Answer is B

Explanation

Choice A reason: Advance directives are instructions given by the patient for future care, not for giving consent for current procedures.

Choice B reason: A durable power of atorney for healthcare allows an individual to make medical decisions on behalf of the patient if they are unable to do so themselves.

Choice C reason: Being the primary caregiver does not automatically grant the legal authority to give consent for medical procedures.

Choice D reason: The nurse's role is to facilitate the consent process, not to give consent on behalf of the patient.

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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

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