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) Hypertonic Fluids: Would worsen hypernatremia by increasing sodium levels.
(B) Isotonic Fluids: These help with volume depletion but do not effectively reduce sodium levels.
(C) Colloid Infusions: Used for hypovolemia but do not correct sodium imbalances.
(D) Hypotonic Fluids: A sodium level of 155 mEq/L (hypernatremia) indicates dehydration, and hypotonic fluids (e.g., 0.45% NaCl) help shift water into cells and lower sodium levels.
Correct Answer is ["D","E"]
Explanation
(A) Serum Glucose Levels: Mannitol does not significantly affect glucose metabolism.
(B) Heart Rate: It does not directly impact heart rate, though secondary effects like dehydration may influence it.
(C) Respiration Rate: Mannitol does not directly impact respiratory function.
(D) Urine Output: Mannitol is an osmotic diuretic that increases urine output. Monitoring urine output helps assess the drug’s effectiveness and prevent dehydration or hypovolemia.
(E) Serum Potassium Levels: Mannitol causes diuresis, which can lead to electrolyte imbalances, including hypokalemia. Monitoring potassium levels helps prevent complications like arrhythmias.
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