Saunders Comprehensive Review for the NCLEX-RN Examination Silvestri 5th Edition Test Bank


PTS: 1 DIF: Level of Cognitive Ability: Applying REF: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: patient- centered collaborative care (6th ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity TOP: Content Area: Nursing Sciences MSC: Integrated Process: Nursing Process—Implementation


2. 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


ANS: 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.


Test-Taking Strategy: Focus on the subject, hypocalcemia. Recalling these signs will direct you to the correct options. Remember that severe muscle weakness occurs in hypercalcemia not hypocalcemia. Review findings noted in hypocalcemia if you had difficulty with this question.


PTS: 1 DIF: Level of Cognitive Ability: Analyzing REF: Ignatavicius, D., &Workman, M. (2010). Medical-surgical nursing: patient- centered collaborative care (6th ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity TOP: Content Area: Nursing Sciences MSC: Integrated Process: Nursing Process—Assessment


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Saunders Comprehensive Review for the NCLEX-RN Examination Silvestri 5th Edition Test Bank


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