CALCIUM
Stimulation of the facial nerve via the masseter muscle causes twitching of the nose/lips in hypocalcemia is known as?
A. Trousseau's Sign
B. Chvostek's Sign
C. Homan's Sign
D. Goodell's Sign
B
Magnesium is absorbed by what system of the body?
A. Gastrointestinal
B. Hepatic
C. Lymphatic
The answer is A.
You are taking a patient’s blood pressure manually. As you pump up the cuff above the systolic pressure for a few minutes you notice that the patient develop a carpal spasm. Which of the following is true?
A. The patient is having a normal nervous response to an inflating blood pressure cuff that is inflated above the systolic pressure
B. This is known as Trousseau’s Sign and is present in patients with HYPERcalcemia
C. This is known as Chvostek’s Sign
D. This is known as Trousseau’s Sign and is present in patients with hypocalcemia
The answer is D. The correct answer is “this is known as Trousseau’s Sign and is present in patients with hypocalcemia”. Patient’s with hypokalemia may present with a positive Trousseau’s and Chvostek sign.
In report from a transferring facility you receive information that your patient's Magnesium level is 1.2. When the patient arrives you are ordered by the doctor to administer Magnesium Sulfate via IV. Which of the following interventions takes priority?
The answer is C. As the nurse administering Magnesium sulfate IV, you must monitor for reduced deep tendon reflexes because the patient could quickly develop hypermagnesemia. In addition, seizure precautions should be initiated due to the patient’s low magnesium level.
A patient's calcium level is 6.9. Which of the following is a nursing priority?
A. Initiate seizure precautions
B. Educate patient about foods rich in calcium
C. Administer Calcitonin
D. Administer Vitamin D supplements as ordered
A
A patient with a magnesium level of 3.6 would exhibit which of the signs and symptoms EXCEPT?
A. Hypotension
B. Profound Lethargy
C. Respiratory failure
D. Hyperreflexia of the deep tendons
The answer is D
A patient is recovering from parathyroid surgery. Morning labs values are back. Which of the following lab values would correlate as a complication from this type of surgery?
A. Calcium 7.5
B. Calcium 12.5
C. Calcium 10.0
D. Calcium 9.2
A
A nurse is providing nursing education for a client who has severe hypomagnesemia and is prescribed oral magnesium sulfate. Which of the following information should the nurse include in the teaching?
A. "Avoid green, leafy vegetables while taking this medication."
B. "You should receive a prescription for thiazide diuretic to take with the magnesium."
C. "You should eliminate whole grains from your diet until your magnesium level increases."
D. "Report diarrhea while taking this medication."
Answer: D. Instruct the patient to report diarrhea while taking oral magnesium replacement. this is a potential adverse effect of taking oral magnesium, which could worsen the client's hypomagnesemia.