Question

30 of 50
the nurse notes that a clients total serum calcium level is 6.0 mg/dl (1.5 mmol/l). which assessment findings would be anticipated in this client? select all that apply.
answer options
renal calculi
hypotension
prolonged qt interval
positive chvosteks sign
rationale, strategy, tip

Explanation:

• Renal calculi: Associated with hypercalcemia (high calcium), not hypocalcemia (low calcium) as in this case.
• Hypotension: Hypocalcemia can affect cardiac function, and hypotension can occur due to impaired myocardial contractility.
• Prolonged QT interval: Hypocalcemia affects the electrical activity of the heart, leading to a prolonged QT interval on ECG.
• Positive Chvostek’s sign: A classic sign of hypocalcemia, where tapping the facial nerve (in front of the ear) causes facial muscle twitching.

Answer:

1. Hypotension, 5. Prolonged QT interval, 6. Positive Chvostek’s sign