During report, the nurse learns that a patient has a Trousseau sign. The nurse would also expect this patient to exhibit:
A) muscle weakness.
B) hypertension.
C) hypoactive bowel sounds.
D) tetany.
D) tetany.
Explanation: A) Marked CNS and neuromuscular excitability are major implications of hypocalcemia. Tingling, spasms, tetany, and possibly convulsions in extreme hypocalcemia may occur. Two clinical signs of neuromuscular excitability are the Chvostek sign and Trousseau sign. Other clinical manifestations of hypocalcemia are ECG changes (such as prolonged QT interval leading to ventricular arrhythmias and cardiac arrest), tetany (manifesting as laryngospasm), intestinal cramping, hyperactive bowel sounds, hypotension, and osteoporosis with or without pathologic fractures.
B) Marked CNS and neuromuscular excitability are major implications of hypocalcemia. Tingling, spasms, tetany, and possibly convulsions in extreme hypocalcemia may occur. Two clinical signs of neuromuscular excitability are the Chvostek sign and Trousseau sign. Other clinical manifestations of hypocalcemia are ECG changes (such as prolonged QT interval leading to ventricular arrhythmias and cardiac arrest), tetany (manifesting as laryngospasm), intestinal cramping, hyperactive bowel sounds, hypotension, and osteoporosis with or without pathologic fractures.
C) Marked CNS and neuromuscular excitability are major implications of hypocalcemia. Tingling, spasms, tetany, and possibly convulsions in extreme hypocalcemia may occur. Two clinical signs of neuromuscular excitability are the Chvostek sign and Trousseau sign. Other clinical manifestations of hypocalcemia are ECG changes (such as prolonged QT interval leading to ventricular arrhythmias and cardiac arrest), tetany (manifesting as laryngospasm), intestinal cramping, hyperactive bowel sounds, hypotension, and osteoporosis with or without pathologic fractures.
D) Marked CNS and neuromuscular excitability are major implications of hypocalcemia. Tingling, spasms, tetany, and possibly convulsions in extreme hypocalcemia may occur. Two clinical signs of neuromuscular excitability are the Chvostek sign and Trousseau sign. Other clinical manifestations of hypocalcemia are ECG changes (such as prolonged QT interval leading to ventricular arrhythmias and cardiac arrest), tetany (manifesting as laryngospasm), intestinal cramping, hyperactive bowel sounds, hypotension, and osteoporosis with or without pathologic fractures.
You might also like to view...
The nurse is preparing to provide oral care to an unconscious client. The priority nursing action is:
1. Rinse the mouth 2. Position the client 3. Don gloves 4. Inspect and clean the oral tissues
Using the classical organizational theory model, what would be the most appropriate method for the nurse to voice concern over unfair client workload assignments?
1. Circulate a petition to all staff seeking support for change in assignment policy and present the signed petition to the nursing supervisor. 2. Discuss the problem with the nurse's team leader and then the charge nurse if the problem remains unsolved. 3. Invite the vice president in charge of nursing to a unit meeting. 4. Organize a unit meeting to discuss the problem on all shifts.
A nurse working on the pediatric unit should be aware that children admitted with which of the following assessment findings are suggestive of physical child abuse? Select all that apply
a. Bruises in various stages of healing b. Bruises over the shins or bony prominences c. Burns on the palms of the hands d. A fracture of the right wrist from a sports accident e. Rib fractures in an infant
To minimize sibling rivalry between toddlers and a new sibling, the parents can:
A) Have the toddler help prepare the baby's room. B) Take the toddler on a trip before the new sibling arrives. C) Explain to the toddler that he or she is no longer the baby. D) Send the toddler to the grandparents to avoid conflict.