A nurse is reviewing her patient's labs for the shift. She notices that her patient's calcium is 7.8 mg/dl. The nurse can expect to see what assessment findings?

Low Blood Pressure and Dizziness

Edema to the extremities

High temperature and sweating

Positive Chvostek's Sign and Anxiety

Answer and Explanation

The Correct Answer is D

A. Low Blood Pressure and Dizziness: Low blood pressure and dizziness are more commonly associated with other conditions such as dehydration or blood loss. Hypocalcemia may cause symptoms like muscle cramps or tingling but not typically low blood pressure.

B. Edema to the extremities: Edema is often related to conditions such as heart failure, kidney disease, or inflammation, not directly to low calcium levels. Hypocalcemia does not typically present with edema in the extremities, so this is not a likely finding.

C. High temperature and sweating: High temperature and sweating are not characteristic of hypocalcemia. These symptoms are more often seen with fever, infection, or hyperthyroidism, not with low calcium levels, which usually cause neuromuscular symptoms.

D. Positive Chvostek's Sign and Anxiety: A calcium level of 7.8 mg/dL is low, and hypocalcemia can cause neuromuscular irritability, including a positive Chvostek's sign. Anxiety is also common in hypocalcemia due to its effect on the nervous system.

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Correct Answer is D

Explanation

A. "I heard you immediately when you came in my room": In REM sleep, the brain is highly active, but the body is in a state of paralysis. A person in REM sleep is less likely to respond quickly to external stimuli, such as hearing someone enter the room.

B. "I feel really cold": Feeling cold is not typically associated with REM sleep. It could be due to other factors like body temperature regulation or environmental conditions but is not a key feature of REM sleep.

C. "It feels like I just went to sleep": This suggests the person was likely in a deeper stage of non-REM sleep. REM sleep typically has an active brain with vivid dreams, making it unlikely for the client to feel like they just fell asleep.

D. "I was having a great dream and I remember all of it": Vivid dreams and memory recall are characteristic of REM sleep. This stage is when the brain is most active in terms of dreaming, making it common for individuals to remember their dreams if they are awakened during this phase.

A. Open the airway using a jaw-thrust maneuver. B. Assess the use of accessory muscles and rate of respirations. C. Remove clothing for a thorough assessment. D. Assess blood pressure and heart rate. E. Perform a Glasgow Coma Scale assessment.

Correct Answer is A,B,D,E,C

Explanation

A. Open the airway using a jaw-thrust maneuver: The first priority in a primary survey is airway management, especially in trauma cases. The jaw-thrust technique is used to maintain cervical spine alignment while opening the airway.

B. Assess the use of accessory muscles and rate of respirations: After the airway is secured, breathing is assessed next. Observing for respiratory effort and accessory muscle use helps determine respiratory function and oxygenation needs.

D. Assess blood pressure and heart rate: The next priority is circulation, which involves checking for adequate perfusion. Vital signs like heart rate and blood pressure provide critical information about circulatory status.

E. Perform a Glasgow Coma Scale assessment: Once ABCs are stable, disability is assessed using neurological tools like the GCS to evaluate consciousness and identify any brain injury.

C. Remove clothing for a thorough assessment: Exposure is the last step in the primary survey. Clothing is removed to fully inspect for other injuries while maintaining temperature control to prevent hypothermia.

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A nurse is reviewing her patient's labs for the shift. She notices that her patient's calcium is 7.8 mg/dl. The nurse can expect to see what assessment findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse awakens a client while the client is experiencing rapid eye movement sleep. What statement made by the client indicates they were awakened during REM sleep?

Correct Answer is D

Explanation

A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle crash. Using a prioritization framework, identify the sequence of actions the nurse should take. (Arrange the boxes by dragging them in the selected order of performance.)

Correct Answer is A,B,D,E,C

Explanation

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The correct progression of steps of the nursing process is:

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