Asked by Jonas Almoguera on Sep 24, 2024
Verified
The nurse assessed four patients at the beginning of the shift. Which finding should the nurse report immediately to the physician?
A) Swollen ankles in patient with compensated heart failure
B) Positive Chvostek's sign in patient with acute pancreatitis
C) Dry mucous membranes in patient taking a new diuretic
D) Constipation in patient who has advanced breast cancer
Positive Chvostek's Sign
An indication of neuromuscular excitability seen when tapping on the facial nerve elicits twitching of the facial muscles, often associated with hypocalcemia.
Compensated Heart Failure
A stage in heart failure where the body adapts and manages to maintain normal function despite the heart's reduced ability to pump blood.
Dry Mucous Membranes
A condition characterized by the drying of mucous membranes, which may be a sign of dehydration or side effects of certain medications.
- Recognize the hazards and required measures for patients experiencing electrolyte disorders like hyperkalemia or hypokalemia.
- Identify the indicators of both fluid excess and fluid scarcity, and comprehend their consequences.
Verified Answer
Learning Objectives
- Recognize the hazards and required measures for patients experiencing electrolyte disorders like hyperkalemia or hypokalemia.
- Identify the indicators of both fluid excess and fluid scarcity, and comprehend their consequences.
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