In which patient will the nurse expect to see a positive Chvostek's sign?

A 50-year-old patient admitted for an acute exacerbation of hyperparathyroidism

A 7-year-old child admitted for severe burns

A 24-year-old admitted for chronic alcohol abuse

A 75-year-old patient admitted for a broken hip related to osteoporosis

Answer and Explanation

The Correct Answer is C

Rationale:
A. Hyperparathyroidism typically causes hypercalcemia, which would not result in a positive Chvostek’s sign.
B. Severe burns can cause fluid and electrolyte imbalances, including hypocalcemia, but it's less specific than option C.
C. Chronic alcohol abuse can lead to hypocalcemia and hypomagnesemia, which are known causes of a positive Chvostek’s sign, a clinical sign of neuromuscular irritability due to low calcium levels.
D. Osteoporosis may be related to chronic calcium deficiency, but it does not directly cause the acute hypocalcemia needed to produce a positive Chvostek’s sign.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

Rationale:
A. Hyporeflexia is not a typical finding in hyponatremia; neuromuscular symptoms like muscle cramps and weakness are more common.
B. Constipation is more often associated with hypercalcemia or dehydration, not hyponatremia.
C. Headache is a common early sign of hyponatremia due to cerebral edema from water shifting into brain cells.
D. Increased appetite is not associated with hyponatremia; nausea and anorexia are more likely.

A. Increased urine output B. Loss of gastric secretions C. Decreased oral intake D. Fever

Correct Answer is B

Explanation

Rationale:

A. Increased urine output: Mr. Allen's urine output is actually low (600 mL/24 hrs), and his urine is dark and concentrated, suggesting dehydration, not excessive urinary losses.

B. Loss of gastric secretions: Continuous suction via the nasogastric (NG) tube removes gastric fluids, which are rich in potassium, chloride, hydrogen ions, and magnesium. This is the main reason for his observed hypokalemia (K = 2.9), hypochloremia (Cl = 94), and low magnesium (Mg = 1.2).

C. Decreased oral intake: While Mr. Allen is NPO, reduced intake alone is not sufficient to cause such significant electrolyte imbalances in a short period. The active loss of electrolytes through NG suction is the primary contributor.

D. Fever is not mentioned in the scenario. Fever can lead to insensible fluid losses, but this is not relevant here and not the primary mechanism of electrolyte depletion.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

In which patient will the nurse expect to see a positive Chvostek's sign?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has a sodium level of 128 mEq/L. Which of the following manifestations should the nurse expect?

Correct Answer is C

Explanation

Use the scenario to guide your answer Exhibits What is the primary reason for electrolyte loss in a patient with an NG tube to suction?

Correct Answer is B

Explanation

Rationale:

A nurse is assisting with the care of a client who has hypocalcemia. For which of the following signs should the nurse monitor?

A nurse is collecting data from a client who has a calcium level of 12 mg/dL. Which of the following manifestations should the nurse expect?

The physician orders Phenergan 12.5mg supp rectally NOW for nausea and vomiting. Available is Phenergan 25mg supp. How many suppositories will the nurse administer?

A nurse is providing education to a client about magnesium oxide. Which of the following statements by the client indicates a correct understanding of magnesium oxide?

A nurse received an order to administer potassium chloride to a client who has a potassium level of 5.8 mEq/L. Which of the following actions should the nurse take?

A nurse is collecting data from a client who has pneumonia and is experiencing acute respiratory acidosis. Which of the following manifestations should the nurse expect to find?

A nurse is collecting data from a client who has acute gastroenteritis. Which of the following data collection findings should the nurse identify as the priority?