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 D

Explanation

A. Beneficence – This principle refers to doing good for the client, such as providing effective care and promoting well-being. While the nurse is educating the client, this action is more about truthfulness than actively promoting well-being.

B. Fidelity – Fidelity refers to maintaining trust and keeping commitments to the client. While honesty builds trust, fidelity is more about keeping promises rather than providing truthful information.

C. Autonomy – Autonomy means respecting a client’s right to make decisions about their care. While education supports informed decision-making, the nurse’s focus in this scenario is on honesty rather than respecting autonomy.

D. Veracity – Veracity refers to truthfulness and honesty in communication. The nurse is providing accurate information about the side effects of transcranial magnetic stimulation, ensuring that the client has correct expectations.

A. Close the doors and windows on the B. Activate the fire alarm system. C. Obtain and use a fire extinguisher D. Evacuate clients from the area.

Correct Answer is B

Explanation

A. Close the doors and windows on the unit – While containing the fire is important, it is not the first priority. Activating the fire alarm ensures facility-wide response and safety protocols.

B. Activate the fire alarm system – This is the first action because it alerts emergency responders and allows evacuation protocols to begin. Timely activation prevents the fire from spreading and ensures prompt intervention.

C. Obtain and use a fire extinguisher – Fire extinguishers are used only for small, contained fires and should be handled by trained personnel after activating the alarm.

D. Evacuate clients from the area – While evacuation is critical, activating the fire alarm ensures a coordinated evacuation plan rather than causing panic.

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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

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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