Which of the following clinical manifestations would the nurse expect - ProProfs Discuss
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Which of the following clinical manifestations would the nurse expect to note in the client? A nurse is assessing a client with a suspected diagnosis of hypocalcemia.



A. Twitching
B. Negative Trousseau s sign
C. Hypoactive bowel sounds
D. Hypoactive deep tendon reflexes
Asked by Eli, Last updated: Feb 21, 2019

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2 Answers

M. Klose

M. KloseContent Writer, Oakland
Content Writer, Oakland

Answered on Feb 21, 2019

The correct answer is option A
Hypocalcemia refers to low levels of calcium in the blood. Twitching is a clinical manifestation of hypocalcemia and the nurse will be able to access this in the client. Other manifestations of hypocalcemia include: positive trousseau sign (chvosteks sign), hyperactive deep tendon reflexes, tetany, numbness and tingling sensations, muscle cramps, weak and brittle nails, depression, and seizures.

Option B is wrong because not negative, but positive trousseau sign is recorded in hypocalcemia.

Option C is wrong because hypocalcemia result in increased gut motility, causing a hyperactive bowel sounds and cramping diarrhea.

Option D is wrong because hyperactive seep tendon reflexes are clinical manifestation of hypocalcemia.

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John Smith

John Smith

Answered on Sep 08, 2016

Twitching-rationale: signs of hypocalcemia include paresthesias followed by numbness, hyperactive deep tendon reflexes, and a positive trousseaus or chvosteks sign. additional signs of hypocalcemia include increased neuromuscular excitability, muscle cramps, twitching, tetany, seizures, irritability, and ansiety. gastrointestinal symptoms include increased gastric motility, hyperactive bowel sounds, abdominal cramping, and diarrhea.test-taking strategy: use the process of elimination, noting that options b, c, and d are comparative or alike in that they reflect a hypoactivity. the option that is different is option a. review the assessment signs and symptoms noted in hypocalcemia if you had difficulty with this question.
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