A nurse is collecting data from a client who has hypocalcemia. Which of the following findings should the nurse expect?
Tingling of the lips
Hypoactive bowel sounds
Skeletal muscle weakness
Decreased deep-tendon reflexes
The Correct Answer is A
A) Tingling of the lips:
This is the correct choice. Hypocalcemia, which is low calcium levels in the blood, can lead to neurological symptoms such as tingling sensations around the lips and in the extremities. This occurs due to the effect of low calcium levels on the nervous system.
B) Hypoactive bowel sounds:
Hypocalcemia primarily affects neuromuscular function rather than gastrointestinal function. While calcium imbalances can impact gastrointestinal motility, hypoactive bowel sounds are not typically associated with hypocalcemia.
C) Skeletal muscle weakness:
Skeletal muscle weakness is a common symptom of hypocalcemia. Low calcium levels affect the ability of muscles to contract effectively, leading to weakness and fatigue.
D) Decreased deep-tendon reflexes:
Hypocalcemia can actually lead to increased deep-tendon reflexes rather than decreased reflexes. Calcium plays a role in neuromuscular transmission, and low levels can result in hyperexcitability of nerves, leading to increased reflexes rather than decreased reflexes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
(A) Correctly identify clients prior to administering medications: This is a key goal of the National Patient Safety Goals (NPSGs). Correctly identifying patients before administering medications helps to prevent medication errors and ensures patient safety.
(B) Educate clients about health promotion and prevention: While this is an important aspect of nursing care, it is not specifically listed as a National Patient Safety Goal.
(c) Prevent catheter-associated urinary tract infections in clients: Preventing healthcare-associated infections, including catheter-associated urinary tract infections, is a major focus of the NPSGs.
(D) Improve communication among staff members: Effective communication among healthcare providers is crucial for patient safety and is a key goal of the NPSGs.
(E) Increase job satisfaction for staff members: While job satisfaction can indirectly impact patient safety, it is not a specific goal of the NPSGs. The NPSGs are primarily focused on direct measures to improve patient safety.
Correct Answer is D
Explanation
(A) “I promise I won’t tell anyone about this.”: This statement is inappropriate because it is the nurse’s legal and ethical duty to report any suspicion or evidence of child abuse to the appropriate authorities. Keeping the information confidential could potentially endanger the child.
(B) “Let’s discuss what you have told me with your family members.”: This statement could potentially put the child at further risk, especially if the abuser is a family member. The child’s safety is the primary concern, and discussing the abuse with family members without the involvement of child protective services could be harmful.
(c) “Your family is bad for doing this to you.”: This statement is judgmental and unprofessional. It’s important to maintain a neutral stance and focus on the child’s feelings and safety rather than placing blame.
(D) “It is not your fault that this happened.”: This is the most appropriate response. It’s crucial to reassure the child that they are not to blame for the abuse. This can help alleviate feelings of guilt or shame that the child may be experiencing. The nurse should also take steps to ensure the child’s immediate safety and report the abuse to the appropriate authorities.
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