The nurse is performing an assessment on a client experiencing ...

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The nurse is performing an assessment on a client experiencing hypoparathyroidism. While taking a blood pressure on this client, the nurse notes spasms of the hands. The nurse should document this clinical manifestation as:
 
  1. Chvostek's sign.
   2. Trousseau's sign.
   3. Turner's sign.
   4. Cullen's sign.

Question 2

The nurse is lifting a heavy object. Which action, if performed, is incorrect?
 
  a. Keep the feet apart. c. Pull the object, do not push.
  b. Bend at the knees. d. Lift with the leg muscles.

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Answer to Question 1

2. Trousseau's sign.

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

Answer to Question 2

C
When lifting objects from the floor, bend at the hips and knees. Establish a wide base of support with the feet spread apart. Lift with the leg muscles and keep the back straight. Pulling causes more strain to the back muscles. Pushing is preferred.

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TYSM

[elyse44]

Gracias!