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Which clinical manifestation would the nurse expect in a patient with hypocalcemia?

A.

Lethargy

B.

Hypertension

C.

Bone Pain

D.

Positive Chvostek's Sign

E.

Constipation

Answer and Explanation

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.


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Related Questions

Correct Answer is C

Explanation

(A) Administer Corticosteroids: PKD is not an inflammatory disease, so steroids are not the first-line treatment.

(B) Encourage Dietary Protein Intake: High-protein diets can worsen kidney damage in PKD patients.

(C) Monitor Blood Pressure: Hypertension is a common and serious complication of PKD. Controlling blood pressure can slow disease progression and reduce the risk of further kidney damage.

(D) Prepare for Immediate Dialysis: Dialysis is not required unless the patient has end-stage renal disease (ESRD). Early-stage PKD is managed with symptom control and blood pressure management.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"D"},"D":{"answers":"E"},"E":{"answers":"B"}}

Explanation

Syndrome of Inappropriate Antidiuretic Hormone (SIADH) → Hyponatremia

Excess ADH leads to water retention, diluting sodium levels.

Addison’s Disease → Hyperkalemia

Adrenal insufficiency leads to decreased aldosterone, causing potassium retention.

Hypoparathyroidism → Hypocalcemia

Lack of parathyroid hormone reduces calcium levels.

Diabetes Insipidus → Hypernatremia

Excessive water loss leads to sodium concentration increase.

Hyperparathyroidism → Hypercalcemia

Excess parathyroid hormone increases calcium release from bones.

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