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
Choice A reason: Placing the patient supine with the knees flexed may be done to reduce tension on the abdominal area, but it is not the immediate action for wound dehiscence.
Choice B reason: Covering the wound with a clean towel is a priority to protect the wound from infection and further injury until it can be assessed and treated by a healthcare provider.
Choice C reason: Applying an abdominal binder may provide support to the abdominal area, but it should not be done without assessing the wound first.
Choice D reason: Offering a drink of water is not related to the immediate care of wound dehiscence.
Correct Answer is B
Explanation
Choice A reason: Advance directives are instructions given by the patient for future care, not for giving consent for current procedures.
Choice B reason: A durable power of atorney for healthcare allows an individual to make medical decisions on behalf of the patient if they are unable to do so themselves.
Choice C reason: Being the primary caregiver does not automatically grant the legal authority to give consent for medical procedures.
Choice D reason: The nurse's role is to facilitate the consent process, not to give consent on behalf of the patient.
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