A patient who has had a prolonged period of nasogastric (NG) suctioning following colon surgery is experiencing electrolyte imbalances
The magnesium level is low (1.2 mg/dL). Knowing that magnesium deficiency occurs in conjunction with low calcium levels, the nurse should assess the patient for which of the following clinical manifestations of hypocalcaemia? Select all that apply.
A)
Personality changes
B)
Hyperactive reflexes
C)
Increase in ventricular arrhythmias
D)
Increase in bouts of atrial fibrillation
E)
Symptomatic hypotension
Ans:
A, B, C
Feedback:
Hypocalcaemia may be evidenced by personality changes and neuromuscular irritability along with tremors, choreiform movements, and positive Chvostek or Trousseau signs. Cardiovascular manifestations include tachycardia, hypertension, and ventricular dysrhythmias.
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