A client with hypoparathyroidism has a low serum calcium level. In order to test for the clinical manifestation consistent with this laboratory result, the nurse would: Select all that apply
1. Tap over the facial nerve of the client.
2. Place a tourniquet on the client's arm.
3. Have the client open and close both hands.
4. Ask the client to count backwards.
5. Press lightly on the client's shoulders.
1. Tap over the facial nerve of the client.
2. Place a tourniquet on the client's arm.
Rationale: Tap over the facial nerve of the client. Tapping over the facial nerve will cause spasm and twitching of the mouth, indicating hypocalcemia; this is referred to as the Chvostek's sign. Place a tourniquet on the client's arm. Placing a tourniquet or BP cuff on the client's arm to assess for carpopedal spasm can also indicate hypocalcemia. This is referred to as the Trousseau's sign. Have the client open and close both hands. This is not a test for hypocalcemia. Ask the client to count backwards. This is not a test for hypocalcemia. Press lightly on the client's shoulders. This is not a test for hypocalcemia.
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