A patient with hypoparathyroidism has a low serum calcium level
How would the nurse test for the clinical manifestation consistent with this laboratory result? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Have the patient open and close both hands.
2. Place a blood pressure cuff on the patient's arm.
3. Tap over the patient's facial nerve.
4. Press lightly on the patient's shoulders.
5. Ask the patient to count backwards.
2,3
Rationale 1: Opening and closing the hands will not elicit findings associated with hypocalcemia.
Rationale 2: Placing a tourniquet or BP cuff on the patient's arm to assess for carpopedal spasm can also indicate hypocalcemia. This is referred to as Trousseau's sign.
Rationale 3: Tapping over the facial nerve will cause spasm and twitching of the mouth, indicating hypocalcemia; this is referred to as Chvostek's sign.
Rationale 4: Pressing on the patient's shoulders will not elicit findings associated with hypocalcemia.
Rationale 5: Having the patient count backwards is not significant to hypocalcemia.
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