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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice A reason: Metabolic alkalosis is characterized by a high pH and a high HCO3 level, which is not present in this scenario.
Choice B reason: Respiratory acidosis is characterized by a high PaCO2 and a low pH. Although the pH is low here, the PaCO2 is also low, ruling out respiratory acidosis.
Choice C reason: Metabolic acidosis is indicated by a low pH and a low HCO3 level, which aligns with the patient's ABG results.
Choice D reason: Respiratory alkalosis would present with a high pH and a low PaCO2, which is not the case here.
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