The nurse is assessing a client who exhibits positive Trousseau's and Chvostek's signs.
What laboratory value would validate these clinical findings? A serum:
potassium 4.2 mEq/L
phosphate 3.0 mg/dL
magnesium 1.8 mEq/L
calcium 6.9 mg/dL
calcium 6.9 mg/dL
The Correct Answer is D
Choice A rationale: A potassium level of 4.2 mEq/L is within the normal range and would not validate Trousseau's and Chvostek's signs.
Choice B rationale: A phosphate level of 3.0 mg/dL is within the normal range and would not validate Trousseau's and Chvostek's signs.
Choice C rationale: A magnesium level of 1.8 mEq/L is within the normal range and would not validate Trousseau's and Chvostek's signs.
Choice D rationale: A calcium level of 6.9 mg/dL is below the normal range and could validate Trousseau's and Chvostek's signs.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Using a small gauge needle may reduce pain but does not specifically address tissue irritation.
Choice B rationale: The Z-track method is used to reduce irritation and prevent leakage of irritating medications into the subcutaneous tissues.
Choice C rationale: Administering at a 45-degree angle is a common angle for intramuscular injections but does not specifically address tissue irritation.
Choice D rationale: Applying ice to the injection site is not a standard practice for reducing tissue irritation with intramuscular injections.

Correct Answer is B
Explanation
Choice A rationale: A sodium level of 142 mEq/L is within the normal range.
Choice B rationale: A potassium level of 3.2 mEq/L is below the normal range, indicating potential hypokalemia and requiring attention, especially if the client is on a diuretic.
Choice C rationale: A hematocrit level of 44% is within the normal range.
Choice D rationale: A chloride level of 100 mEq/L is within the normal range.
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