In which patient will the nurse expect to see a positive Chvostek ...

[crobinson2013]

In which patient will the nurse expect to see a positive Chvostek sign?
 
  a. A 7-year-old child admitted for severe burns
  b. A 24-year-old adult admitted for chronic alcohol abuse
  c. A 50-year-old patient admitted for an acute exacerbation of hyperparathyroidism
  d. A 75-year-old patient admitted for a broken hip related to osteoporosis

Question 2

A nurse is caring for a patient whose ECG presents with changes characteristic of hypokalemia. Which assessment finding will the nurse expect?
 
  a. Dry mucous membranes
  b. Abdominal distention
  c. Distended neck veins
  d. Flushed skin

[sarah_brady415]

Answer to Question 1

ANS: B
A positive Chvostek sign is representative of hypocalcemia or hypomagnesemia. Hypomagnesemia is common with alcohol abuse. Hypocalcemia can be brought on by alcohol abuse and pancreatitis (which also can be affected by alcohol consumption). Burn patients frequently experience extracellular fluid volume deficit. Hyperparathyroidism causes hypercalcemia. Immobility is associated with hypercalcemia.

Answer to Question 2

ANS: B
Signs and symptoms of hypokalemia are muscle weakness, abdominal distention, decreased bowel sounds, and cardiac dysrhythmias. Distended neck veins occur in fluid overload. Thready peripheral pulses indicate hypovolemia. Dry mucous membranes and flushed skin are indicative of dehydration and hypernatremia.

[crobinson2013]

Thanks

[sarah_brady415]

Welcome