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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
Choice A reason: Congestive heart failure can lead to prerenal injury due to decreased renal perfusion, but it is not a direct cause of intrarenal injury.
Choice B reason: Vancomycin is a nephrotoxic medication that can cause intrarenal injury. The drug can directly damage the renal tubules, leading to acute kidney injury.
Choice C reason: Glomerulonephritis involves inflammation of the glomeruli, which is a direct cause of intrarenal injury. This condition affects the kidney's filtering units, leading to impaired renal function.
Choice D reason: Bladder cancer is more associated with postrenal injury due to obstruction of urine flow, rather than intrarenal injury.
Choice E reason: A traumatic injury directly onto the kidney can cause damage to the renal tissue, leading to intrarenal injury. This type of injury affects the kidney itself and can result in acute kidney injury.
Correct Answer is ["C","D"]
Explanation
Choice A reason: Mineralocorticoids are produced by the adrenal glands and regulate sodium and potassium balance, not typically associated with the symptoms of myxedema.
Choice B reason: Calcitonin is involved in calcium metabolism and is not related to the symptoms of myxedema.
Choice C reason: Thyroxine (T4) is a thyroid hormone essential for regulating metabolism. A deficiency in T4 leads to symptoms such as fatigue, cold intolerance, and myxedema.
Choice D reason: Triiodothyronine (T3) is another thyroid hormone crucial for metabolism regulation. A lack of T3, along with T4, contributes to the symptoms of myxedema.
Choice E reason: Glucocorticoids are produced by the adrenal glands and are involved in stress response and metabolism, but are not directly related to myxedema.
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