Which of the following assessment techniques can the nurse use to determine if a client is experiencing hypocalcemia? (Select all that apply.)
1. Allen test
2. Chvostek's sign
3. Percussion of the abdomen
4. Auscultation of the lungs
5. Trousseau's sign
6. Palpation of the neck
2, 5
Trousseau's sign is assessed by inflating a blood pressure cuff for up to 4 minutes and assessing for hand spasms as a sign of hypocalcemia. Chvostek's sign is done by tapping on the facial nerve and assessing for a spasm of the facial muscle on the same side as evidence of hypocalcemia. The Allen's test, percussion of the abdomen, auscultation of the lungs, and palpation of the neck are not performed specifically for hypocalcemia.
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Which postoperative complaint voiced by a client who had a diskectomy 6 hours ago warrants intervention?
A. Fatigue B. Thirst C. Restlessness D. Inability to void
A patient is unconscious. To keep the person's mouth open during oral hygiene, you need to use:
a. Sponge swabs b. A padded tongue blade c. Your fingers d. An orange stick
How should the nurse position the patient to administer nose drops to the maxillary sinus?
a. Sitting upright with the head tilted backward toward the side to be treated b. Supine with a small pillow under the shoulders and the head tilted backward c. Supine with the head tilted backward and turned to the unaffected side d. Head tilted back over the edge of the bed and turned toward the side to be treated