The nurse is monitoring the client for hypocalcemia. Which of the following are indicative of this imbalance? Select all that apply

1. Muscle cramps
2. Tingling sensations
3. Hyperactive reflexes
4. Severe muscle weakness
5. Irritability
6. Memory impairment


1, 2, 3, 5, 6

Rationale: Signs of hypocalcemia include tingling sensations, hyperactive reflexes, and a positive Trousseau or Chvostek sign. Other signs include increased neuromuscular excitability, muscle cramps, tetany, seizures, insomnia, irritability, memory impairment, and anxiety. Severe muscle weakness is seen in hypercalcemia not hypocalcemia.

Nursing

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A nurse has applied to work at a hospital that has National Stroke Center designation. The nurse realizes the hospital adheres to eight Core Measures for ischemic stroke care. What do these Core Measures include? (Select all that apply.)

a. Discharging the client on a statin medication b. Providing the client with comprehensive therapies c. Meeting goals for nutrition within 1 week d. Providing and charting stroke education e. Preventing venous thromboembolism

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Which topic would likely appear on the agenda for a staff meeting chaired by a nurse manager who follows transactional leadership theory? Note: Credit will be given only if all correct choices and no incorrect choices are selected

Standard Text: Select all that apply. 1. Progress on request to increase personal day benefits 2. Review of policy and procedure for unit evacuation 3. The value of teamwork 4. Being empathetic with clients 5. Standardized first of shift assessments

Nursing

A client comes into the community clinic for a wellness check-up. During the interview the nurse collects the following information:

Reason for visit: "Just wanted to get a quick check-up. I know I'm not sick and will not get anything serious. And even if I do, what can be done? You people will tell me to take some pills, change my diet, get more exercise ... the list goes on and on and why? If I'm meant to live long I will and if I'm meant to die early, then I will do that too." Which health belief model should the nurse consider as the guiding principle for this client? 1. Internal locus of control 2. Neuman systems model 3. Rosenstock's health belief model 4. Pender's health promotion model

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The critical-care nurse is writing a care plan for a patient who has returned from surgery 2 hours prior. In planning the patient's care, which measure will the nurse implement to decrease the patient's risk of developing pulmonary emboli (PE)?

A) Early ambulation B) Increased dietary intake of protein C) Maintaining the patient in a supine position D) Administering aspirin with warfarin

Nursing