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) Magnesium is 2.0 mEq/L: Normal range (1.5-2.5 mEq/L), not concerning.
(B) Sodium Level is 136 mEq/L: Normal range (135-145 mEq/L), no immediate risk.
(C) Calcium is 10.1 mEq/L: Normal range (8.5-10.5 mEq/L), not a concern.
(D) Potassium Level is 6.1 mEq/L: Spironolactone is a potassium-sparing diuretic, and hyperkalemia can lead to life-threatening cardiac arrhythmias.
Correct Answer is C
Explanation
(A) Mannitol: Osmotic diuretic, does not significantly lower potassium.
(B) Calcium Carbonate: Used for hypocalcemia, not hyperkalemia.
(C) Glucose & Insulin: Insulin drives potassium into cells, reducing serum potassium levels. Glucose is given to prevent hypoglycemia.
(D) Metoprolol: Beta-blocker, does not directly lower potassium.
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