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 B

Explanation

A. Almonds – While nut allergies exist, they are not strongly associated with latex allergies.

B. Bananas – Correct. Latex-fruit syndrome is a known cross-reactivity between latex and certain fruits, including bananas, avocados, kiwis, and chestnuts. These foods contain proteins similar to latex, which can trigger allergic reactions.

C. Strawberries – Strawberries are not commonly linked to latex allergies.

D. Hazelnuts – While hazelnuts can cause allergic reactions, they are not a known cross-reactive food with latex.

A. Check the client's vital signs every 15 min. B. Give the naloxone slowly for 15 seconds. C. Expect the onset of naloxone to occur in 15 min. D. Anticipate the effects of naloxone to last for 24 hr.

Correct Answer is A

Explanation

A. Vital signs should be monitored every 15 minutes because naloxone has a short duration and the client may experience opioid re-sedation as the antagonist wears off.

B. Naloxone should be administered over 2 minutes, not 15 seconds, to reduce abrupt opioid withdrawal symptoms.

C. Naloxone has a rapid onset (1-2 minutes IV, 2-5 minutes IM).

D. The effects of naloxone last only 30-90 minutes, requiring repeated doses if opioids are still in the system.

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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?

Nursing Test Bank

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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?