A nurse is collecting data from a client who has hypocalcemia.
Which of the following findings should the nurse expect?

Decreased deep-tendon reflexes.

Skeletal muscle weakness.

Hypoactive bowel sounds.

Tingling of the lips.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Decreased deep-tendon reflexes are not a common symptom of hypocalcemia. Normal calcium levels in the blood range from 8.5 to 10.2 mg/dL1.

Choice B rationale:

Skeletal muscle weakness is a symptom of hypercalcemia, not hypocalcemia.

Choice C rationale:

Hypoactive bowel sounds are associated with hypercalcemia, not hypocalcemia.

Choice D rationale:

Tingling of the lips is a common symptom of hypocalcemia. This occurs due to increased excitability of the nerves.

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Correct Answer is A

Explanation

Choice A rationale:

The medication should be dropped into the conjunctival sac, which is the space between the lower eyelid and the eyeball. This is the correct method for administering ophthalmic drops.

Choice B rationale:

The eyedropper should not touch any part of the eye, including the sclera, to avoid contamination and potential infection.

Choice C rationale:

It is not necessary to don sterile gloves when administering ophthalmic drops. Clean gloves or hand hygiene is sufficient.

Choice D rationale:

Rubbing the eye after instilling medication can cause irritation and may disperse the medication, reducing its effectiveness.

A. Asking any part of the prescription that is unclear or inappropriate. B. Repeat the prescription back to the provider. C. Transcribe the prescription into the client's medical record. D. Obtain the provider's signature within 48 hours.

Correct Answer is A

Explanation

Choice A rationale:

The prescription should be clear and appropriate. If there is any part of the prescription that is unclear or inappropriate, it should be clarified with the provider. This is to ensure the safety and effectiveness of the medication for the client.

Choice B rationale:

Repeating the prescription back to the provider is a good practice to confirm the accuracy of the prescription. However, it is not the only step in ensuring the appropriateness of the prescription.

Choice C rationale:

Transcribing the prescription into the client’s medical record is important for documentation and continuity of care. However, it does not directly address the appropriateness of the prescription.

Choice D rationale:

Obtaining the provider’s signature within 48 hours is a regulatory requirement in some settings. However, it does not directly address the appropriateness of the prescription.

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A nurse is collecting data from a client who has hypocalcemia.
Which of the following findings should the nurse expect?