When a patient with hypoparathyroidism reports numbness and tingling, the nurse should suspect which electrolyte imbalance?
A) Hyperchloremia
B) Hypernatremia
C) Hypophosphatemia
D) Hypocalcemia
Answer: D
Explanation: A) In hypoparathyroidism or parathyroid gland removal, low to undetectable levels of calcium can be found on laboratory studies. Corresponding hypomagnesemia and hyperphosphatemia can occur as well. Signs and symptoms of hypocalcemia include numbness and tingling, muscle cramping, hyperactive reflexes, tetany, laryngeal spasms, positive Chvostek and Trousseau signs, decreased blood pressure, ventricular dysrhythmias, bone pain, and fractures.
B) In hypoparathyroidism or parathyroid gland removal, low to undetectable levels of calcium can be found on laboratory studies. Corresponding hypomagnesemia and hyperphosphatemia can occur as well. Signs and symptoms of hypocalcemia include numbness and tingling, muscle cramping, hyperactive reflexes, tetany, laryngeal spasms, positive Chvostek and Trousseau signs, decreased blood pressure, ventricular dysrhythmias, bone pain, and fractures.
C) In hypoparathyroidism or parathyroid gland removal, low to undetectable levels of calcium can be found on laboratory studies. Corresponding hypomagnesemia and hyperphosphatemia can occur as well. Signs and symptoms of hypocalcemia include numbness and tingling, muscle cramping, hyperactive reflexes, tetany, laryngeal spasms, positive Chvostek and Trousseau signs, decreased blood pressure, ventricular dysrhythmias, bone pain, and fractures.
D) In hypoparathyroidism or parathyroid gland removal, low to undetectable levels of calcium can be found on laboratory studies. Corresponding hypomagnesemia and hyperphosphatemia can occur as well. Signs and symptoms of hypocalcemia include numbness and tingling, muscle cramping, hyperactive reflexes, tetany, laryngeal spasms, positive Chvostek and Trousseau signs, decreased blood pressure, ventricular dysrhythmias, bone pain, and fractures.
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