A nurse is providing discharge teaching to a client who has hypocalcemia. Which of the following statements by the client indicates understanding of the teaching?
"I should report any tingling I feel around my mouth."
"I should take a 2,500-milligram calcium supplement every day."
"I should avoid dairy products, including cheese."
"I should expect my blood pressure to be very low."
The Correct Answer is A
A. "I should report any tingling I feel around my mouth. Tingling around the mouth, known as perioral paresthesia, is a classic symptom of hypocalcemia and can indicate worsening calcium deficiency or the onset of tetany. This symptom must be reported immediately because it suggests neuromuscular irritability that can progress to serious complications like laryngospasm or seizures if left untreated.
B. "I should take a 2,500-milligram calcium supplement every day." A daily calcium supplement of 2,500 mg exceeds the recommended upper limit for most adults, which is about 2,000 mg per day from supplements. Excessive calcium intake can lead to hypercalcemia, kidney stones, and other complications. Supplement dosage should be based on individual needs and prescribed by a healthcare provider.
C. "I should avoid dairy products, including cheese: Dairy products such as cheese, milk, and yogurt are rich sources of dietary calcium. Avoiding them would reduce calcium intake, which is counterproductive for a client with hypocalcemia. Unless contraindicated due to lactose intolerance or allergies, these foods are encouraged to help manage low calcium levels.
D. "I should expect my blood pressure to be very low." Hypocalcemia does not typically result in very low blood pressure. In fact, it more commonly causes neuromuscular symptoms such as muscle cramps, tetany, and tingling sensations. Low calcium levels may have some cardiovascular effects, but persistent hypotension is not a hallmark feature of hypocalcemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "I will eat something when I feel hungry." Responding to true physical hunger is a principle of mindful eating, which supports weight loss by preventing overeating due to emotional or external cues. Recognizing and honoring hunger promotes better portion control and sustainable eating habits.
B. "I will peel apples before I eat them." Apple peels contain fiber, which increases satiety and supports digestive health. Removing the peel reduces fiber content, which may make the snack less filling and hinder weight management efforts.
C. "I will eliminate carbohydrates from my diet." Eliminating carbohydrates completely is not recommended for healthy weight loss. Balanced diets that include whole grains, fruits, and vegetables support long-term weight management and provide essential nutrients.
D. "I will use corn oil when frying foods." Frying foods, regardless of the type of oil, increases calorie density and may not support weight loss. Healthier cooking methods like baking, steaming, or grilling are preferred for reducing fat intake and promoting weight control.
Correct Answer is A
Explanation
A. Keep total fat intake at 25% of calories per day. It is recommended that total fat intake be between 20% and 35% of daily calories, with an emphasis on healthy fats such as unsaturated fats from plant sources. Keeping fat intake around 25% supports cardiovascular health and balanced nutrition.
B. Limit cholesterol intake to 500 mg per day. The current recommendation is to limit dietary cholesterol to less than 300 mg per day. Excess cholesterol intake can increase the risk of cardiovascular disease, especially in individuals with other risk factors.
C. Consume 50% of daily food intake from protein. Protein should make up 10% to 35% of total daily calories. Consuming 50% from protein is excessive and may displace other essential nutrients like carbohydrates and healthy fats.
D. Restrict sodium intake to 3,000 mg per day. Recommended sodium intake for healthy adults is less than 2,300 mg per day. Lower limits are suggested for individuals with hypertension, kidney disease, or other related conditions to help manage blood pressure and fluid balance.
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