A nurse is reviewing the laboratory results of a client and notes a calcium level of 7.2 mg/dL. Which of the following findings should the nurse expect?

Decreased bowel sounds

Dry, sticky mucous membranes

Hypoactive deep-tendon reflexes

Numbness of extremities

Answer and Explanation

The Correct Answer is D

A. Decreased bowel sounds: Hypocalcemia typically causes increased neuromuscular excitability, which can lead to increased bowel sounds.
B. Dry, sticky mucous membranes: Dry, sticky mucous membranes are more indicative of dehydration or hypernatremia.
C. Hypoactive deep-tendon reflexes: Hypocalcemia usually causes hyperactive deep-tendon reflexes, not hypoactive.
D. Numbness of extremities: Numbness and tingling in the extremities are common symptoms of hypocalcemia due to increased neuromuscular excitability.

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Correct Answer is B

Explanation

A. "You can expect fecal output within 24 hours." Fecal output usually occurs within 2-4 days after surgery, not within 24 hours.
B. "You may experience a small amount of bleeding around the stoma." A small amount of bleeding around the stoma is normal, especially right after surgery.
C. "You can expect the stoma to be purplish in color for the first week." A healthy stoma should be pink to red. A purplish color could indicate poor blood supply and should be reported.
D. "You will need to increase your dietary intake of raw vegetables." Raw vegetables can cause gas and obstruction; clients are usually advised to avoid them initially.

A. Keep the collection container at room temperature. B. At the beginning of the collection time, urinate and then discard the urine C. At the end of the collection time, urinate and save the urine in a separate container. D. Save each urine collection in a separate container.

Correct Answer is B

Explanation

A. Keep the collection container at room temperature. The collection container should be kept refrigerated or on ice to prevent bacterial growth and preserve the sample.
B. At the beginning of the collection time, urinate and then discard the urine. This is the correct method to ensure the 24-hour collection period starts with an empty bladder.
C. At the end of the collection time, urinate and save the urine in a separate container. The final urine at the end of the collection period should be added to the collection container, not saved separately.
D. Save each urine collection in a separate container: All urine collected over the 24-hour period should be saved in the same container to provide an accurate total volume for analysis.

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