A nurse is reviewing the medical record of an adolescent and notes a calcium level of 11.4 mEq/L. Which of the following findings should the nurse expect?
Tachycardia
Diarrhea
Positive Chvostek's sign
Muscle hypotonicity
The Correct Answer is D
A. Tachycardia: Hypercalcemia is more likely to cause bradycardia (slow heart rate) due to its depressive effects on the cardiac muscle.
B. Diarrhea: Hypercalcemia typically leads to constipation, not diarrhea.
C. Positive Chvostek's sign: This is associated with hypocalcemia, not hypercalcemia.
D. Muscle hypotonicity: Hypercalcemia can lead to muscle weakness and hypotonicity due to its effects on nerve and muscle function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "My parents treat me like a baby sometimes." This statement reflects a common adolescent feeling of striving for independence and experiencing frustration when treated as a child. It is a normal part of adolescent development and not a cause for immediate concern.
B. "There's a pimple on my face, and I worry that everyone will notice it." Concern about appearance is typical for adolescents due to the increased focus on body image and peer perception. This statement is a normal expression of adolescent self-consciousness.
C. ``I start taking ibuprofen a few days before my period starts." Using ibuprofen preemptively for menstrual cramps is a reasonable self-care practice for adolescents experiencing menstrual discomfort. This statement does not indicate any immediate health concern.
D. "None of the kids at my school like me, and I don't like them either." This statement indicates social isolation and potential issues with peer relationships, which can be a red flag for emotional distress or depression. It may suggest that the adolescent is experiencing significant difficulties in their social life that could lead to more serious mental health concerns.
Correct Answer is C
Explanation
A. Firmly push a cotton ball into the ear canal after instilling drops. Firmly pushing a cotton ball into the ear canal is not recommended as it can cause irritation or damage to the ear canal. A loose cotton ball can be placed at the entrance of the ear canal to prevent the drops from leaking out, but it should not be inserted deeply.
B. Pull the child's ear auricle upward and outward just before instilling drops. For a child under 3 years old, the ear auricle should be pulled downward and backward to straighten the ear canal for proper administration of ear drops. Pulling upward and outward is appropriate for older children and adults.
C. Apply clean gloves and clean the outer ear prior to instilling drops. Applying clean gloves and cleaning the outer ear is essential for preventing infection and ensuring that the medication is administered properly. This is a standard procedure to maintain hygiene.
D. Warm the medication container for 10 seconds in a microwave oven prior to installation. Microwaving medication is not recommended as it can overheat and degrade the medication. Warming the drops by holding the container in your hands for a few minutes is safer and helps to avoid the discomfort of cold drops.
A. Firmly push a cotton ball into the ear canal after instilling drops. Firmly pushing a cotton ball into the ear canal is not recommended as it can cause irritation or damage to the ear canal. A loose cotton ball can be placed at the entrance of the ear canal to prevent the drops from leaking out, but it should not be inserted deeply.
B. Pull the child's ear auricle upward and outward just before instilling drops. For a child under 3 years old, the ear auricle should be pulled downward and backward to straighten the ear canal for proper administration of ear drops. Pulling upward and outward is appropriate for older children and adults.
C. Apply clean gloves and clean the outer ear prior to instilling drops. Applying clean gloves and cleaning the outer ear is essential for preventing infection and ensuring that the medication is administered properly. This is a standard procedure to maintain hygiene.
D. Warm the medication container for 10 seconds in a microwave oven prior to installation. Microwaving medication is not recommended as it can overheat and degrade the medication. Warming the drops by holding the container in your hands for a few minutes is safer and helps to avoid the discomfort of cold drops.
A. Firmly push a cotton ball into the ear canal after instilling drops. Firmly pushing a cotton ball into the ear canal is not recommended as it can cause irritation or damage to the ear canal. A loose cotton ball can be placed at the entrance of the ear canal to prevent the drops from leaking out, but it should not be inserted deeply.
B. Pull the child's ear auricle upward and outward just before instilling drops. For a child under 3 years old, the ear auricle should be pulled downward and backward to straighten the ear canal for proper administration of ear drops. Pulling upward and outward is appropriate for older children and adults.
C. Apply clean gloves and clean the outer ear prior to instilling drops. Applying clean gloves and cleaning the outer ear is essential for preventing infection and ensuring that the medication is administered properly. This is a standard procedure to maintain hygiene.
D. Warm the medication container for 10 seconds in a microwave oven prior to installation. Microwaving medication is not recommended as it can overheat and degrade the medication. Warming the drops by holding the container in your hands for a few minutes is safer and helps to avoid the discomfort of cold drops.
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