A nurse is collecting data from a client who has a calcium level of 12 mg/dL (9-10.5 mg/dL). Which of the following manifestations should the nurse expect?

Hypotension

Decreased deep tendon reflexes

Diarrhea

Increased appetite

Answer and Explanation

The Correct Answer is B

A. Hypotension: Hypercalcemia (high calcium levels) typically causes increased blood pressure, not hypotension.

B. Decreased deep tendon reflexes: High calcium levels can depress neuromuscular function, leading to diminished or absent deep tendon reflexes. This is a common finding in hypercalcemia.

C. Diarrhea: Hypercalcemia is more commonly associated with constipation, not diarrhea.

D. Increased appetite: Hypercalcemia does not cause increased appetite. It often leads to symptoms such as nausea, vomiting, or a reduced appetite.

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Correct Answer is B

Explanation

A. Increased bowel sounds: Hypokalemia typically causes decreased bowel activity, leading to constipation or paralytic ileus, rather than increased bowel sounds.

B. Reports of fatigue: Fatigue is a hallmark symptom of hypokalemia due to impaired cellular and muscle function.

C. Positive Trousseau's sign: This is associated with hypocalcemia, not hypokalemia.

D. Reports of numbness in the feet: This is more commonly linked with neuropathy or hypocalcemia, not hypokalemia.

A. Provide oxygen at 2 L per nasal cannula. B. Provide a urinal and encourage the patient to void. C. Place the patient in a high Fowler position. D. Lay the patient flat in bed to listen to bowel sounds.

Correct Answer is C

Explanation

A. Provide oxygen at 2 L per nasal cannula: Although oxygen might be helpful later, the patient currently has a good oxygen saturation (95%). The priority is to ease breathing and reduce fluid accumulation in the lungs.

B. Provide a urinal and encourage the patient to void: While voiding might help reduce fluid volume, repositioning the patient to improve breathing is more urgent.

C. Place the patient in a high Fowler position: This position maximizes lung expansion, improves oxygenation, and helps alleviate dyspnea caused by fluid overload.

D. Lay the patient flat in bed to listen to bowel sounds: Placing the patient flat can worsen pulmonary symptoms by allowing fluid to shift toward the lungs.

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A nurse is collecting data from a client who has a calcium level of 12 mg/dL (9-10.5 mg/dL). Which of the following manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

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