Practice Question
A nurse is caring for a client who has a positive Trousseau's sign and bone pain. Which of the following electrolyte imbalances should the nurse suspect to find with this client?
Answer Choices:
Correct Answer:
Hypocalcemia
Rationale:
🔷 A positive Trousseau’s sign (carpal spasm when a blood pressure cuff is inflated) is a classic indicator of neuromuscular irritability caused by low calcium levels.
🔷 Bone pain is also associated with hypocalcemia because low serum calcium may result from bone demineralization or underlying bone disorders.
🔷 Hypocalcemia commonly presents with tetany, muscle cramps, paresthesias, and hyperreflexia due to increased neuromuscular excitability.
🔷 Electrolyte imbalances such as hyperkalemia or hyponatremia do not cause a positive Trousseau’s sign.
🔷 Early recognition and treatment of hypocalcemia are critical to prevent life-threatening complications like laryngeal spasm or cardiac arrhythmias.
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This question is from Custom~162 Unit V Mental Health Exam-PN which contains 37 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Mental Health
- Answer Choices: 3