The nurse is assessing the vital signs of a client experiencing ...

[luminitza]

The nurse is assessing the vital signs of a client experiencing hypoparathyroidism. While monitoring the blood pressure, the nurse notes the client's hand begins to spasm.
 
  Which term is appropriate for the nurse to use when documenting this assessment finding?
  A) Trousseau sign
  B) Chvostek sign
  C) Turner's sign
  D) Cullen's sign

Question 2

An adult client is diagnosed with bone spurs of the vertebral column. Which is the priority action by the nurse?
 
  A) Implement low-level exercise program.
  B) Assess pain management.
  C) Teach relaxation techniques.
  D) Refer to a dietitian.

[ebonylittles]

Answer to Question 1

Answer: A

Trousseau sign is elicited when placing a blood pressure cuff on the arm; when the cuff is inflated, the client experiences carpal spasms. Chvostek sign is elicited by tapping on the face in front of the ear and observing for contractions of the muscle. Turner's sign and Cullen's sign are both associated with retroperitoneal bleeding.

Answer to Question 2

Answer: B

Osteoarthritis seen in normal aging can lead to the formation of bone spurs that make movement painful. The nurse should assess pain management prior to implementing an exercise program, teaching relaxation exercises, or referring to a dietitian.