A nurse is collecting data from a patient who has hypocalcemia. Which of the following findings should the nurse expect?
Hypoactive bowel sounds
Tingling of the lips
Decreased deep tendon reflexes
Skeletal muscle weakness
The Correct Answer is B
Choice A reason: Hypoactive bowel sounds are not typically associated with hypocalcemia.
Choice B reason: Tingling of the lips, also known as paresthesia, is a common symptom of hypocalcemia due to the effect of low calcium levels on nerve function.
Choice C reason: Decreased deep tendon reflexes are more commonly associated with hypercalcemia, not hypocalcemia.
Choice D reason: Skeletal muscle weakness can be a symptom of severe hypocalcemia, but tingling of the lips is a more immediate and common finding.
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Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. Raise the head of the bed.
Choice A rationale:
Increasing the patient’s oral fluid intake is important for hydration and thinning secretions, but it is not the immediate priority when oxygen saturation is critically low.
Choice B rationale:
Raising the head of the bed helps improve lung expansion and facilitates easier breathing, which can quickly improve oxygen saturation levels. This is a critical first step in managing low oxygen saturation.
Choice C rationale:
Initiating humidified oxygen therapy is essential for improving oxygenation, but it should follow the immediate action of raising the head of the bed to optimize breathing.
Choice D rationale:
Encouraging the patient to cough and deep breathe is beneficial for clearing secretions and improving lung function, but it is not the first action to take when oxygen saturation is critically low.
Correct Answer is D
Explanation
Choice A reason: Peripheral edema is typically associated with fluid overload, not hypovolemia, which is a decreased volume of circulating blood in the body.
Choice B reason: Bradycardia, or a slow heart rate, is not commonly associated with hypovolemia. Tachycardia, or a rapid heart rate, may occur as the body atempts to compensate for the reduced blood volume.
Choice C reason: Cyanosis, which is a bluish discoloration of the skin due to lack of oxygen, is not a direct sign of hypovolemia.
Choice D reason: Hypotension, or low blood pressure, is a common finding in hypovolemia as there is less blood circulating through the body.
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