A nurse is reviewing the laboratory results of a client who has hypothyroidism. The client's calcium level is 7.6 mg/dL. When assessing the client, which of the following findings should the nurse expect?

Muscle twitching

Hypertension

Bounding pulse

Hypoactive bowel sounds

Answer and Explanation

The Correct Answer is A

A. Muscle twitching – Hypocalcemia (normal range: 8.5–10.5 mg/dL) causes neuromuscular excitability, leading to muscle twitching, tetany, and positive Chvostek's and Trousseau's signs.

B. Hypertension – Hypocalcemia does not cause hypertension; instead, it may lead to hypotension.

C. Bounding pulse – Hypocalcemia does not cause a bounding pulse; it may cause weak and irregular pulses.

D. Hypoactive bowel sounds – Hypocalcemia is more likely to cause hyperactive bowel sounds and diarrhea rather than hypoactive bowel sounds.

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Correct Answer is A

Explanation

A. This is the correct answer. A snug-fitting bra helps suppress lactation and provides support to relieve discomfort. It should be worn continuously, even while sleeping, for 72 hours.

B. Moist heat stimulates milk production and should be avoided. Instead, cold compresses can help reduce swelling.

C. Fluid restriction is not necessary and could lead to dehydration.

D. Manually expressing milk will encourage continued milk production rather than suppressing lactation.

A. Calcium B. Potassium C. Iron D. Magnesium

Correct Answer is B

Explanation

A. Calcium – Spironolactone does not significantly impact calcium levels, so avoiding calcium supplements is unnecessary.

B. Potassium – This is the correct answer. Spironolactone is a potassium-sparing diuretic, which can lead to hyperkalemia. Clients should avoid potassium supplements and potassium-rich foods to prevent dangerous elevations in serum potassium levels.

C. Iron – Spironolactone does not have a direct effect on iron metabolism, so iron supplementation is not contraindicated.

D. Magnesium – Although spironolactone does not have a strong impact on magnesium levels, excessive magnesium intake is not a primary concern with this medication.

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A nurse is reviewing the laboratory results of a client who has hypothyroidism. The client's calcium level is 7.6 mg/dL. When assessing the client, which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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