A nurse is caring for a client who has a positive Trousseau's sign and bone pain. Which of the following electrolyte imbalances should the nurse suspect to find with this client?

Hyperkalemia

Hypermagnesemia

Hypocalcemia

Hyponatremia

Answer and Explanation

The Correct Answer is C

A. Hyperkalemia: Hyperkalemia involves elevated potassium levels, which can cause muscle weakness, cardiac arrhythmias, and other symptoms, but it is not associated with Trousseau's sign or bone pain.

B. Hypermagnesemia: Hypermagnesemia, an elevated magnesium level, typically causes symptoms such as muscle weakness and respiratory depression, but not Trousseau's sign or bone pain.

C. Hypocalcemia: Hypocalcemia, characterized by low calcium levels, is commonly associated with a positive Trousseau's sign (spasms induced by inflating a blood pressure cuff) and bone pain due to calcium's role in bone health and neuromuscular function.

D. Hyponatremia: Hyponatremia refers to low sodium levels, which can cause symptoms like confusion, seizures, and lethargy, but it is not related to Trousseau's sign or bone pain.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Reposition the client every 4 hr.: Repositioning should be done more frequently, typically every 2 hours, to prevent complications such as pressure ulcers.

B. Place the head of the client's bed at 40° when supine: Elevating the head of the bed to 30-45° helps reduce the risk of ventilator-associated pneumonia (VAP) by preventing aspiration.

C. Turn off the ventilator alarms before suctioning the client's airway: Ventilator alarms should never be turned off as they are critical for monitoring the client's status. Alarms can be temporarily silenced, but only for the duration of the procedure.

D. Provide mouth care every 10 to 12 hr with hydrogen peroxide: Mouth care should be provided more frequently, typically every 4 hours, to reduce the risk of infection. Hydrogen peroxide is not commonly used due to its potential to cause irritation and harm to oral tissues.

A. Impaired carbon dioxide elimination due to shunting B. Decreased pulmonary arterial pressure due to ventilation-perfusion (V/Q) mismatch C. Hypoxemia due to dead space D. Decreased pulmonary compliance due to stiffness

Correct Answer is D

Explanation

A. ARDS is characterized by severe hypoxemia due to shunting, but it typically impairs oxygenation rather than carbon dioxide elimination. The primary issue is the inability to oxygenate blood, not the elimination of carbon dioxide.
B. In ARDS, pulmonary arterial pressure often increases due to pulmonary hypertension caused by widespread inflammation and hypoxemia, not decreased pressure. V/Q mismatch contributes to hypoxemia but does not directly cause decreased pulmonary arterial pressure.
C. While hypoxemia is a hallmark of ARDS, it is primarily due to shunting (where blood passes through unventilated areas of the lung) rather than dead space, which is more associated with conditions like pulmonary embolism.
D. ARDS involves decreased pulmonary compliance due to the stiffness of the lungs, which results from diffuse alveolar damage and the formation of hyaline membranes. This stiffness makes it difficult for the lungs to expand, leading to reduced oxygenation and severe hypoxemia.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who has a positive Trousseau's sign and bone pain. Which of the following electrolyte imbalances should the nurse suspect to find with this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse at a long-term care facility is reinforcing teaching with a newly hired nurse about the care of clients who are receiving mechanical ventilation. Which of the following information should the nurse include?

Correct Answer is B

Explanation

A nurse is collecting data for a client who has acute respiratory distress syndrome (ARDS). Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is assisting with preparations for administering intravenous potassium replacement supplements to a client who has a potassium level of 2.5 mEq/L. Which of the following actions should the nurse plan to include? (Select all that apply.)

A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to thin the client's respiratory secretions?

A nurse is caring for a client who is postoperative following a tracheostomy and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this client's secretions?

A nurse is reinforcing discharge education to a client who has hypokalemia. Which of the following suggestions should be included in the teaching plan?

A nurse is collecting data from a client who is having an acute asthma exacerbation. When auscultating the client's chest, the nurse should expect to hear which of the following sounds?

A nurse is reviewing the medical record of a client who has metabolic acidosis. The nurse should realize that which of the following findings contributes to the development of metabolic acidosis?

Which of the following best describes the role of osmoreceptors in the regulation of water balance in the body?

A charge nurse is providing an in-service to a group of nurses about hypomagnesemia. Which of the following should the charge nurse include as risk factors for this condition? (Select all that apply.)