Questions and Answers
What clinical manifestation does the nurse expect to see in a client suspected of having hypercalcemia? (Select all that apply)
Which information from the assessment of a client with septic shock requires the most immediate action by the nurse?
Based on the results of the arterial blood gases (ABGs), what imbalance does the nurse understand the client to be exhibiting?
What alterations in the arterial blood gases would the nurse expect to find in a client with agitation, diarrhea, and peripheral edema, taking a lot of antacids?
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Study Notes
Hypercalcemia Clinical Manifestations
- Hypercalcemia results in elevated blood calcium levels, leading to lethargy and decreased deep tendon reflexes.
- Bradycardia is observed instead of tachycardia in hypercalcemia.
- Positive Chvostek's sign indicates hypocalcemia, not hypercalcemia.
Septic Shock Assessment Priorities
- Endotracheal tube misplacement can lead to inadequate left lung oxygenation, identified by absent lung sounds on the left side.
- Blood pressure of 92/54 mmHg indicates some organ perfusion but requires monitoring.
- Elevated temperature is secondary; prioritize airway management and lung assessment.
- Urine analysis reveals possible sepsis cause but should not take precedence over airway concerns.
Arterial Blood Gases (ABGs) Interpretation
- ABG results show pH of 7.35, indicating respiratory acidosis that is compensated; normal pH but acidic side noted.
- Elevated PaCO2 indicates acid formation; HCO3 is increased to buffer acid.
- Appropriate interpretation involves recognizing compensation mechanisms based on pH and PaCO2 relation.
Clinical Signs Related to Antacid Use
- Chronic antacid use can lead to metabolic alkalosis; expected ABG results may show elevated pH and HCO3 levels.
- Symptoms may include agitation, diarrhea, and peripheral edema due to alterations in electrolyte balance and acid-base status.
- pH of 7.50, PaCO2 of 35, and HCO3 of 32 are indicative of metabolic alkalosis.
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Description
This quiz focuses on the clinical manifestations of hypercalcemia, helping nursing students identify symptoms associated with elevated calcium levels in the blood. Understand the signs and prepare for real-life clinical situations.
