Elevate Module 1 Review Quiz | 100% Correct
Answers | Verified | Latest 2024 Version
What clinical manifestation does the nurse expect to see in a client suspected of having hypercalcemia?
1. Tachycardia
2. Positive Chvostek
3. Lethargy
4. Tachypnea
5. Decreased deep tendon reflexes - ANS: 3...
Elevate Module 1 Review Quiz | 100% Correct
Answers | Verified | Latest 2024 Version
What clinical manifestation does the nurse expect to see in a client suspected of having hypercalcemia?
1. Tachycardia
2. Positive Chvostek
3. Lethargy
4. Tachypnea
5. Decreased deep tendon reflexes - ✔✔ANS: 3., 5.
3., & 5. Correct: Hypercalcemia is a condition in which the calcium level in blood is above normal. Too
much calcium in blood can weaken bones, create kidney stones, and interfere with heart and brain
function. Hypercalcemia is usually a result of overactive parathyroid glands. Other causes include cancer,
some medications, and taking too much of calcium and vitamin D supplements. Signs and symptoms of
hypercalcemia range from nonexistent to severe. Lethargy and decreased deep tendon reflexes are two
manifestations of hypercalcemia.
1. Incorrect: Bradycardia rather than tachycardia is seen with hypercalcemia. Remember - muscles are
sedated.
2. Incorrect: A Negative Chvostek will be seen with hypercalcemia. It will be positive in hypocalcemia.
4. Incorrect: Hypercalcemia will result in a decreased, rather than increased respiratory rate.
A client has been admitted with a diagnosis of septic shock and has been successfully intubated. The
nurse performs and documents a rapid assessment. Which information from the assessment requires
the most immediate action by the nurse?
Documentation: Heart tones irregular, distant. Face flushed and warm. Extremities cool and mottled.
Radial pulses faintly palpable. Pedal pulses non-palpable. Denies chest pain. Endotracheal tube taped in
place via oropharynx. Right anterior and posterior lung sounds clear. Unable to hear left lung sounds.
Grimaces with light abdominal palpation over pelvic bone. Urine amber and cloudy with red streaks. 100
mL urine output in foley catheter bag. Opens eyes and moves to command. Pupils equal, round, and
react to light.
, 1. Lung assessment findi - ✔✔ANS: 1.
1. Correct: Look at the clues: Endotracheal tube taped in place via oropharynx. Right anterior and
posterior lung sounds clear. Unable to hear left lung sounds. The ET tube is likely down in the right main
stem bronchus. This means the left lung is not being oxygenated.
2. Incorrect: The BP is above 90 systolic, so the vital organs are still being perfused. The nurse will
definitely keep monitoring, but this is not the priority.
3. Incorrect: The second priority is to treat the infection that is likely the cause of the temperature
elevation. But take care of that airway first.
4. Incorrect: This is the likely cause of the sepsis, but the priority is to fix the airway problem.
Based on the results of the arterial blood gases (ABGs), what imbalance does the nurse understand the
client to be exhibiting?
1. Correct: The pH is normal but is on the acidic side of normal. The PaCO2 is elevated, causing acid
formation. The HCO3 is alkalotic and is increased to buffer the acid. The pH and PaCO2 match, so the
original problem was respiratory acidosis, but compensation has occurred since the pH is now normal.
2. Incorrect: The pH is normal but is on the acidic side of normal. The PaCO2 is acid. The HCO3 is
alkalotic. The pH and PaCO2 match, so the original problem was respiratory acidosis, but compensation
has occurred since the pH is now low.
3. Incorrect: The pH is normal but is on the acidic side of normal. The PaCO2 is acid. The HCO3 is
alkalotic. The pH and PaCO2 match, so the original problem was respiratory acidosis, but compensation
has occurred since the pH is now low.
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