In which patient would the nurse expect to see a positive ...

[joe]

In which patient would 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 bro-ken hip related to osteoporosis

Question 2

The nurse would not expect full compensation to occur for which acid-base imbalance?
 
  a. Respiratory acidosis
  b. Respiratory alkalosis
  c. Metabolic acidosis
  d. Metabolic alkalosis

[memslove]

Answer to Question 1

ANS: B
A positive Chvostek sign is representative of hypocalcemia or hypomagnesemia. Hypomagnese-mia is common with alcohol abuse. Hypocalcemia can be brought on by alcohol abuse and pan-creatitis (which also can be affected by alcohol consumption). Burn patients frequently experi-ence ECV deficit. Hyperparathyroidism causes hypercalcemia. Immobility is associated with hy-percalcemia.

Answer to Question 2

ANS: B
Usually the cause of respiratory alkalosis is a temporary event (e.g., an asthma or anxiety attack). The kidneys take about 24 hours to compensate for an event, so it is unlikely to see much if any compensation for respiratory alkalosis. Respiratory acidosis usually results from longer-term con-ditions such as chronic lung disease, narcotic overdose, or another event that causes respiratory depression. The kidneys still do not respond for about 24 hours, but usually the event is still oc-curring. For both metabolic imbalances, the respiratory system is quick to attempt to compensate: however, it may have difficulty sustaining that compensation.

[joe]

Thanks for the timely response, appreciate it

[juliaf]

Gracias!