What action should a nurse implement to initiate the Chvostek sign?
a. Ask the patient to grimace and note if the facial response is symmetrical.
b. Inflate a blood pressure cuff to the systolic level and watch for a carpopedal spasm.
c. Tap the face over the facial nerve and watch for a spasm of the facial muscle.
d. Check the pupillary response to light and determine whether the pupil accommo-dates and reacts.
C
Spasm of the facial muscles is an indicator of low serum calcium levels.
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When preparing the client for a meal, a nurse's FIRST responsibility is:
a. ensuring that the client is ready to eat b. identifying the client's tray and ensuring that the correct diet has been sent c. positioning the client comfortably upright with the overbed table over the client's lap d. removing any offensive sights and smells from the room
The infant of a diabetic mother is hypoglycemic. Which type of feeding should be instituted first?
a. Glucose water b. D5W intravenously c. Formula via nasogastric tube d. Small amount of glucose water followed by formula or breast milk
The nurse who works with veterans from the 1940s and 1950s knows that individuals in this cohort are more likely than older adults to
a. obtain preventative health services b. hoard money for times of need c. work hard to keep families intact d. be noncompliant with medications
A patient has been prescribed metformin (Glucophage). One week later he returns with lowered blood sugars but complains of some loose stools during the week. How should the nurse practitioner respond?
A. Discontinue the medication immediately B. Reassure the patient that this is an anticipated side effect C. Double the dosage of medication and have patient return in 1 week D. Order a chem. 7 to check for lactic acidosis