In which patient would the nurse expect to see a positive Chvostek sign?
a. A 7-year-old child admitted for severe burns
b. A 24-year-old adult admitted for chronic alcohol abuse
c. A 50-year-old patient admitted for an acute exacerbation of hyperparathyroidism
d. A 75-year-old patient admitted for a bro-ken hip related to osteoporosis
ANS: B
A positive Chvostek sign is representative of hypocalcemia or hypomagnesemia. Hypomagnese-mia is common with alcohol abuse. Hypocalcemia can be brought on by alcohol abuse and pan-creatitis (which also can be affected by alcohol consumption). Burn patients frequently experi-ence ECV deficit. Hyperparathyroidism causes hypercalcemia. Immobility is associated with hy-percalcemia.
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