The nurse is caring for a client post-thyroidectomy that is showing clinical manifestations of hypocalcemia. Which of the following would the nurse expect to find during the assessment?

Dilated pupils

Hyperactive bowel sounds

Hyperglycemia

Positive Chvostek's sign

Answer and Explanation

The Correct Answer is D

Choice A reason: Dilated pupils are not a clinical manifestation of hypocalcemia. Hypocalcemia primarily affects the neuromuscular system, leading to symptoms such as muscle cramps and tetany. Pupillary changes are not commonly associated with low calcium levels.

Choice B reason: Hyperactive bowel sounds are not typically associated with hypocalcemia. While hypocalcemia can lead to muscle spasms and cramps, it does not usually cause changes in gastrointestinal motility. Hyperactive bowel sounds may be related to other gastrointestinal disorders.

Choice C reason: Hyperglycemia is not a clinical manifestation of hypocalcemia. Hypocalcemia affects calcium levels in the blood and neuromuscular function. Hyperglycemia is related to elevated blood sugar levels and is not directly connected to calcium metabolism.

Choice D reason: Positive Chvostek's sign is a clinical manifestation of hypocalcemia. This sign is elicited by tapping on the facial nerve, causing twitching of the facial muscles. It is an indication of neuromuscular irritability due to low calcium levels.

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Correct Answer is ["B","C","D"]

Explanation

Choice A reason: Cullen's sign is a physical finding of bruising around the umbilicus, often associated with intra-abdominal bleeding or pancreatitis. It is not related to Parkinson's disease.

Choice B reason: Bradykinesia, or slowed movement, is a hallmark symptom of Parkinson's disease. It affects the ability to initiate and control movements.

Choice C reason: Pill rolling is a characteristic hand tremor seen in Parkinson's disease. It involves a rhythmic movement of the fingers as if rolling a small object between them.

Choice D reason: Unilateral tremors, or tremors occurring on one side of the body, are often one of the early signs of Parkinson's disease. The tremors typically start on one side and may progress to affect both sides.

Choice E reason: Swan neck deformity is a feature of rheumatoid arthritis, involving deformity of the fingers. It is not associated with Parkinson's disease.

A. A client requiring reinforcement of teaching about a diabetic diet B. A client requiring routine dressing changes C. A client requiring intravenous medication administration D. A client requiring a bath E. A client who requires ambulation assistance

Correct Answer is ["A","B","C"]

Explanation

Choice A reason: LPNs can reinforce teaching that has already been provided by an RN. They can help clarify and reinforce the diabetic diet plan to the client.

Choice B reason: Routine dressing changes are within the scope of practice for LPNs. They can provide this care effectively.

Choice C reason: LPNs are qualified to administer intravenous medications. This is within their scope of practice and ensures that clients receive their medications timely.

Choice D reason: Providing a bath is typically assigned to UAPs. This task does not require the clinical judgment and skills of an LPN.

Choice E reason: Assisting with ambulation is typically assigned to UAPs. This task does not require the clinical judgment and skills of an LPN.

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The nurse is caring for a client post-thyroidectomy that is showing clinical manifestations of hypocalcemia. Which of the following would the nurse expect to find during the assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client's family complains of several gradually presenting signs and symptoms. The nurse suspects Parkinson's disease based on what signs and symptoms? (Select all that apply)

Correct Answer is ["B","C","D"]

Explanation

The nurse is preparing the client assignments for the day to a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP). Which client should the nurse assign to the LPN? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

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