A nurse is caring for a client who had a total thyroidectomy and has a serum calcium level of 7.6 mg/dL (normal range: 8.5–10.5 mg/dL). Which of the following findings should the nurse expect?
Diminished deep tendon reflexes
Tingling of the extremities
Muscle weakness
Bounding pulses
The Correct Answer is B
Choice A reason: Hypocalcemia typically causes hyperactive, not diminished, deep tendon reflexes due to increased neuromuscular excitability.
Choice B reason: Tingling or paresthesias in the extremities and around the mouth are classic signs of hypocalcemia. These symptoms result from increased neuromuscular irritability.
Choice C reason: Muscle weakness is more commonly associated with electrolyte imbalances like hypokalemia, not hypocalcemia.
Choice D reason: Bounding pulses are not characteristic of hypocalcemia. Cardiovascular symptoms may include arrhythmias, but not increased pulse amplitude.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Consistent condom use is one of the most effective methods for preventing HIV transmission during sexual activity. This behavior significantly reduces risk and is considered protective.
Choice B reason: The HPV vaccine protects against human papillomavirus, not HIV. While vaccination is important for sexual health, it does not influence HIV risk directly.
Choice C reason: Injection drug use, especially when sharing needles, is a high-risk behavior for HIV transmission. Combined with multiple sexual partners, this individual has compounded risk factors, making him the most vulnerable among the choices.
Correct Answer is A
Explanation
Choice A reason: The therapeutic INR range for warfarin in DVT management is 2.0 to 3.0. This range balances efficacy in preventing clot progression with safety to minimize bleeding risk.
Choice B reason: PT is influenced by warfarin but is less specific and standardized than INR. INR is the preferred monitoring parameter for warfarin therapy.
Choice C reason: PTT is used to monitor heparin, not warfarin. It does not reflect warfarin’s anticoagulant effect.
Choice D reason: An INR above 3.5 increases bleeding risk and may indicate over-anticoagulation, requiring dose adjustment or reversal.
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