A nurse is caring for a client who had a total thyroidectomy and a serum calcium level of 7.6 mg/dL(range 8.8 -10.5). Which of the following findings should the nurse expect?
Shortened QT intervals
Constipation
Tingling of the extremities
Hypoactive deep tendon reflexes
The Correct Answer is C
A. Hypocalcemia usually causes prolonged QT intervals, not shortened.
B. Constipation is more commonly associated with hypercalcemia.
C. Tingling of the extremities (paresthesias) is a classic sign of hypocalcemia.
D. Hypocalcemia typically causes hyperactive deep tendon reflexes, not hypoactive.
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Related Questions
Correct Answer is A
Explanation
A. Hypomagnesemia is common in chronic alcoholism and can cause increased blood pressure, hyperactive reflexes, abdominal issues, and mood changes.
B. Hypermagnesemia typically causes decreased reflexes and hypotension.
C. Hypocalcemia can cause neuromuscular irritability but is less directly associated with these symptoms in alcoholism.
D. Hypercalcemia generally causes decreased reflexes and lethargy.
Correct Answer is D
Explanation
A. Heat can increase inflammation; typically, warm compresses are used later, but early heat application is not standard.
B. While pain medication may be needed, morphine administration requires proper orders and assessment; pain here is often due to trapped CO₂ gas causing diaphragmatic irritation.
C. Shoulder x-ray is not routinely indicated for post-laparoscopic shoulder pain.
D. Encouraging ambulation helps the body absorb the residual CO₂ gas used during surgery, which reduces referred shoulder pain.
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