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. Peripheral pulses +1: Weak peripheral pulses indicate continued hypovolemia or dehydration. Effectiveness would be reflected in stronger pulses.

B. Urine output 200 mL/4 hr: Adequate urine output (≥30 mL/hr) indicates improved kidney perfusion and hydration status, suggesting effective treatment.

C. Urine specific gravity 1.04: This value is elevated, indicating continued dehydration; effective hydration would reduce this value to the normal range of 1.005-1.030.

D. Heart rate 104/min: Tachycardia is a compensatory response to dehydration. Improvement would manifest as a normalized heart rate (60-100 bpm).

A. The patient can experience speed shock B. A clot can be forced into the circulation causing serious complications. C. A painful arterial spasm can occur D. The catheter can become dislodged and fall out.

Correct Answer is B

Explanation

A. The patient can experience speed shock: Speed shock is a rapid infusion of a substance (like a medication or fluid) into the bloodstream, usually occurring when the infusion rate is too fast. This is not typically caused by flushing a clotted cannula.

B. A clot can be forced into the circulation causing serious complications: Flushing a clotted cannula too aggressively can dislodge a clot, causing it to travel into the bloodstream. This can lead to serious complications like embolism or stroke, especially if the clot is large or travels to a vital organ.

C. A painful arterial spasm can occur: While arterial spasms can occur, they are more often related to arterial catheterization or manipulation rather than flushing a venous cannula.

D. The catheter can become dislodged and fall out: While this could potentially happen, it is less of a concern compared to the risk of pushing a clot into circulation, which is a more immediate danger.

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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?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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