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 D
Explanation
Choice A rationale: The sclera by the outer canthus is not the typical site for administering eyedrops bilaterally.
Choice B rationale: Dropping medication onto the center of the cornea is not the recommended technique for administering eyedrops.
Choice C rationale: The sclera by the inner canthus is not the usual site for administering eyedrops bilaterally.
Choice D rationale: The lower conjunctival sac is the appropriate area for administering eyedrops, ensuring proper absorption and distribution.
Correct Answer is ["B","D","E"]
Explanation
Choice A rationale: Hypernatremia involves elevated sodium levels, so encouraging potassium-rich foods is not directly related to addressing hypernatremia.
Choice B rationale: Restricting sodium in the diet is appropriate to help manage and reduce hypernatremia. This can prevent further complications of hypernatremia, such as dehydration, confusion, seizures, and coma.
Choice C rationale: This is not an appropriate intervention for hypernatremia, as water intake can help dilute the sodium levels and restore the fluid balance in the body.
Decreasing water intake can worsen the hypernatremia and cause dehydration. Choice D rationale: This is an appropriate intervention for hypernatremia, as high sodium levels can affect the fluid balance and blood pressure in the body. Monitoring
vital signs can help detect any changes or abnormalities that may indicate worsening of the condition or need for further treatment.
Choice E rationale: Monitoring intake and output helps assess fluid balance and response to interventions for hypernatremia.
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