When measuring the blood pressure of a patient with hypoparathyroidism, the nurse notes spasms of the patient's hand. How should the nurse document this finding?

1. Trousseau sign
2. Chvostek sign
3. Turner sign
4. Cullen sign


Correct Answer: 1
Trousseau sign is elicited by placing a blood pressure cuff on the patient's arm; when the cuff is inflated, the patient experiences carpal spasms of the hand. Chvostek sign is elicited by tapping on the face in front of the ear and observing for contractions of the facial muscle. Turner and Cullen signs are observed on a patient's abdomen and flank and are associated with intra- or retroperitoneal bleeding.

Nursing

You might also like to view...

Over the past century, many health-related changes have occurred affecting morbidity and mortality. As community health nurses assess and plan for services in the community, they need to integrate which of the following changes into their plans?

Select all that apply. A) High levels of chronic disease B) Shortened life spans C) Increased teen pregnancies D) Abuse of multiple substances E) Increased maternal mortality F) Multi-drug-resistant diseases

Nursing

A patient is scheduled for surgery and will receive general anesthesia

What interaction can the patient expect with the certified registered nurse anesthetist (CRNA) assigned to the case? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The nurse will be the patient's primary nurse during surgery and in the postanesthesia recovery room. 2. The CRNA will conduct an assessment of the patient prior to surgery. 3. The CRNA will assist the anesthesiologist in inducing anesthesia. 4. The CRNA will teach the patient about the anesthesia process. 5. The CRNA will maintain the patient's anesthesia level for the length of the operative procedure.

Nursing

The nurse is learning how to reduce the stigma associated with substance dependence. What knowledge of psychobiology will help reduce stigma?

A) There is heritability and predisposition to alcohol dependence as well as complex environmental influences. B) Alcoholics Anonymous is an accepted treatment approach. C) Clients with alcohol dependence cannot be held accountable for their actions. D) Relapse is a common feature of substance abuse.

Nursing

Match the group member's comment to the role it most closely represents

1. "We aren't getting much done; let's speed things up and make a decision." 2. "Last week we finished our first goal and today we are starting on our second." 3. "Everyone has had good ideas so far; so, whatever you say is fine with me." 4. "It doesn't really matter what we do. I'm just here because they make me attend." a. Playboy b. Energizer c. Organizer d. Follower

Nursing