When taking the blood pressure of a client after a parathyroidectomy, the nurse notes that the client's hand has gone into flexion contractions. What is the nurse's interpretation of this ob-servation?
A. Hypokalemia
B. Hyperkalemia
C. Hyponatremia
D. Hypocalcemia
D
Hypocalcemia destabilizes excitable membranes and can lead to muscle twitches, spasms, and tetany. This effect of hypocalcemia is enhanced in the presence of tissue hypoxia. The flexion contractions (Trousseau's sign) occurring during blood pressure measurement are indicative of hypocalcemia.
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A nurse who works in a hospital with a collective bargaining unit requires disciplining. Which actions by the nurse manager are critical? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Standard Text: Select all that apply. 1. Coaching the nurse as appropriate 2. Letting the collective bargaining unit handle any disciplinary needs 3. Reviewing policy and procedures with the nurse 4. Discussing expectations that were not met 5. Directing any questions the nurse has to the union representative
The caregiver of a child who has a history of seizures reports that the child was complaining of being dizzy, and the caregiver noted the child seemed drowsy and was clumsy. The nurse recognizes that the description of the child's behavior was most likely
A) Aura B) Clonic C) Postictal D) Prodromal
The nurse observes fruity breath in an individual with diabetic ketoacidosis. Which of the following may also be observed?
a. Pallor. b. Kussmaul's breathing. c. Bradycardia. d. Clammy skin.
A group of elderly clients are interested in living options available in the community when they may need some assistance with their daily needs. Which of the following would the nurse suggest as possibilities to meet these needs? (Select all that apply.)
1. Adult foster care 2. Group homes 3. Retirement villages 4. Long-term care facilities 5. Adult day-care centers