Author Question: A patient has a positive Trousseau sign. For which problem should the nurse plan care for this ... (Read 117 times)

magmichele12 · **on:** Jun 25, 2018

A patient has a positive Trousseau sign. For which problem should the nurse plan care for this patient?

1. pain
2. excessive fluid
3. difficulty breathing
4. reduced blood flow

Question 2

When measuring the blood pressure of a patient with hypoparathyroidism, the nurse notes spasms of the patient's hand. How should the nurse document this finding?

1. Trousseau sign
2. Chvostek sign
3. Turner sign
4. Cullen sign

strudel15 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
A positive Trousseau sign causes painful carpal spasms due to decreased calcium. The patient will be experiencing pain. A positive Trousseau sign is not associated with fluid volume, respiratory function, or perfusion or blood flow.

Answer to Question 2

Correct Answer: 1
Trousseau sign is elicited by placing a blood pressure cuff on the patient's arm; when the cuff is inflated, the patient experiences carpal spasms of the hand. Chvostek sign is elicited by tapping on the face in front of the ear and observing for contractions of the facial muscle. Turner and Cullen signs are observed on a patient's abdomen and flank and are associated with intra- or retroperitoneal bleeding.