Question

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.

Explanation:

• Tetany: Hypocalcemia (low serum calcium) can lead to increased neuromuscular excitability, which is manifested as tetany (involuntary muscle contractions).
• Hypotension: Calcium is important for normal cardiac function. Low calcium levels can affect myocardial contractility, potentially leading to hypotension.
• Constipation: Is more associated with hypercalcemia (high calcium levels) as high calcium can decrease smooth muscle activity in the gastrointestinal tract.
• Renal calculi: Are also more common in hypercalcemia due to increased calcium excretion in the urine.

Answer:

1. Tetany
2. Hypotension