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 C

Explanation

A. Hematocrit 45% (37% to 52%): This value is within the normal range for hematocrit. Dehydration may increase the hematocrit due to a relative increase in red blood cell concentration, but 45% is still within normal limits.

B. Creatinine 0.9 mg/dL (0.5-1.2 mg/dL): This value is within the normal range for creatinine, indicating normal kidney function.

C. BUN 25 mg/dL (10-20 mg/dL): An elevated BUN level is a sign of dehydration as it reflects increased protein breakdown and decreased renal perfusion. This value is above the normal range and should be reported to the provider.

D. Urine specific gravity 1.028 (1.005 to 1.030): This value is within the normal range and indicates that the kidneys are concentrating urine, which is typical in dehydration as the body tries to conserve water.

A. Upright B. Side-lying C. Supine D. Prone

Correct Answer is A

Explanation

A. Upright: Sitting upright promotes optimal lung expansion by reducing pressure on the diaphragm and improving ventilation.

B. Side-lying: This may be used for comfort but does not maximize lung expansion.

C. Supine: Lying flat can compromise lung expansion, particularly in respiratory distress.

D. Prone: While prone positioning is used in specific cases of severe respiratory failure (e.g., ARDS), it is not standard for general pneumonia in children.

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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 A

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