A patient with a serum calcium level of 7.0 mg/dL is at risk for which condition? (Normal 8.5-10.5 mg/dL)
Tetany
Hypertension
Constipation
Polyuria
The Correct Answer is A
(A) Tetany: Hypocalcemia increases neuromuscular excitability, leading to muscle cramps, spasms, and tetany (involuntary muscle contractions).
(B) Hypertension: Hypocalcemia does not directly cause hypertension; it may lead to hypotension.
(C) Constipation: Hypercalcemia, not hypocalcemia, causes constipation.
(D) Polyuria: Hypercalcemia leads to polyuria, while hypocalcemia does not.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"D"},"E":{"answers":"F"}}
Explanation
Cushing’s Syndrome → Dexamethasone Suppression Test
- Cushing’s Syndrome results from excess cortisol. The dexamethasone suppression test evaluates whether cortisol production is appropriately suppressed by exogenous steroids.
Addison’s Disease → ACTH Stimulation Test
- Addison’s Disease involves adrenal insufficiency. The ACTH stimulation test checks if the adrenal glands can produce cortisol when stimulated.
Graves’ Disease → TSH Receptor Antibody Test
- Graves’ Disease is an autoimmune hyperthyroid condition where autoantibodies stimulate the thyroid. The TSH receptor antibody test detects these autoantibodies.
Diabetes Insipidus → Water Deprivation Test
- Diabetes Insipidus causes excessive urination due to ADH deficiency or resistance. The water deprivation test assesses the kidneys' ability to concentrate urine in response to dehydration.
Hashimoto’s Thyroiditis → Antithyroid Antibody Test
- Hashimoto’s Thyroiditis is an autoimmune hypothyroid disorder characterized by elevated antithyroid antibodies.
Correct Answer is B
Explanation
(A) Obtain a urine specimen: Important for diagnosis but not the priority over pain management.
(B) Administer prescribed analgesics: Pain relief is the priority in acute urolithiasis, as renal colic is excruciating.
(C) Encourage oral fluids: Helps prevent further stone formation but is secondary to pain relief.
(D) Prepare the patient for surgery: Surgery is only indicated for large, obstructing stones, not a first-line intervention.
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