A nurse is monitoring a client who was admitted for hypocalcemia. Which of the following findings should the nurse expect?

Positive Chvostek's sign

Hypotension

Confusion

Positive Babinski reflex

Answer and Explanation

The Correct Answer is A

A. Positive Chvostek's sign. Hypocalcemia increases neuromuscular excitability, leading to involuntary twitching of facial muscles when the facial nerve is tapped. This sign is a well-known indicator of calcium deficiency and reflects heightened nerve sensitivity.
B. Hypotension. While severe hypocalcemia can affect cardiovascular function, hypotension is not a primary or consistent finding. More commonly, calcium imbalances affect muscle contractions rather than directly causing low blood pressure.
C. Confusion. Hypocalcemia can cause neurological symptoms, but confusion is more common in severe or prolonged cases. Early manifestations are usually neuromuscular, such as tetany or muscle cramps, rather than cognitive impairment.
D. Positive Babinski reflex. This reflex is associated with upper motor neuron dysfunction and neurological disorders rather than electrolyte imbalances like hypocalcemia. Calcium deficiency primarily affects peripheral nerves and muscle excitability.

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Correct Answer is D

Explanation

A. "I can have a meal up to 2 hours before the procedure." Eating before an intravenous pyelogram (IVP) is not recommended, as fasting is typically required to prevent interference with imaging and reduce the risk of nausea from the contrast dye. Clients are usually instructed to refrain from eating for several hours before the procedure.
B. "I should limit my fluid intake for 2 days after the procedure." Increasing, rather than limiting, fluid intake is advised after the procedure to help flush the contrast dye from the kidneys and reduce the risk of nephrotoxicity. Adequate hydration is essential for kidney function following contrast administration.
C. "I do not need to sign a consent form before this procedure." An IVP involves the injection of contrast dye, which carries risks such as allergic reactions and kidney impairment. Because it is an invasive diagnostic procedure, informed consent is required before proceeding.
D. "I will feel a warming sensation after the injection of the dye." The contrast dye used in an IVP often causes a transient warm or flushed feeling, as well as a metallic taste in the mouth. This is a common and expected reaction, indicating that the client understands the procedure.

A. Drain the tub water before the client gets out. B. Add bath oil to the water after the client gets into the tub. C. Allow the client to remain in the bath for 30 min. D. Check on the client every 10 min during the bath.

Correct Answer is D

Explanation

A. Drain the tub water before the client gets out. Draining the tub water before the client gets out is not a recommended practice. Instead, the nurse should ensure that the client has a safe way to exit the tub while the water is still in it, as the water can provide support and stability when getting out.
B. Add bath oil to the water after the client gets into the tub. Adding bath oil to the water can create a slippery surface, increasing the risk of falls and injury. It is best to avoid bath oils, especially for clients who may have mobility issues or are at risk for falls.
C. Allow the client to remain in the bath for 30 min. While soaking in a tub can be relaxing, staying in the bath for too long can increase the risk of overheating or dehydration. A shorter duration may be more appropriate, depending on the client's condition and safety.
D. Check on the client every 10 min during the bath. Checking on the client regularly during the bath is essential for ensuring their safety. This practice allows the nurse to monitor for any signs of distress, difficulty, or the need for assistance, providing reassurance and promoting the client's well-being.

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A nurse is monitoring a client who was admitted for hypocalcemia. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is scheduled for an intravenous pyelogram. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is likely experiencing, 2 actions the nurse should take to address the condition, and 2 parameters the nurse should monitor to assess the client’s progress.

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