Which clinical manifestation would the nurse expect in a patient with hypocalcemia?
Lethargy
Hypertension
Bone Pain
Positive Chvostek's Sign
Constipation
The Correct Answer is D
(A) Lethargy: More common in hypercalcemia.
(B) Hypertension: Hypocalcemia is more likely to cause hypotension due to reduced contractility.
(C) Bone Pain: More common in hypercalcemia due to bone resorption.
(D) Positive Chvostek’s Sign: Facial twitching when tapping the facial nerve is a classic sign of hypocalcemia.
(E) Constipation: Hypocalcemia is associated with diarrhea, not constipation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
(A) Hydrochlorothiazide: A thiazide diuretic used for hypertension, not ICP.
(B) Spironolactone: A potassium-sparing diuretic used for heart failure, not ICP.
(C) Furosemide: A loop diuretic that reduces fluid overload but is not the first choice for ICP management.
(D) Mannitol: An osmotic diuretic that reduces brain swelling by drawing fluid out of the brain and into the bloodstream.
Correct Answer is ["B","C"]
Explanation
(A) Hypokalemia: Addison’s disease does not cause potassium loss.
(B) Hyperkalemia: Addison’s disease involves adrenal insufficiency, leading to low aldosterone levels. Aldosterone normally promotes potassium excretion; without it, potassium accumulates in the blood.
(C) Hyponatremia: Lack of aldosterone also prevents sodium retention, leading to excess sodium loss in urine and low sodium levels.
(D) Hypernatremia: Sodium levels are low due to excessive sodium excretion.
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