Electrolytes Question #25


A client with hypoparathyroidism reports numbness and tingling in the fingers and around the mouth. For which electrolyte imbalance should the nurse assess this client?


  1. Hyponatremia
    • Rationale:
  2. Hypocalcemia
    • Rationale:
  3. Hyperkalemia
    • Rationale:
  4. Hypermagnesemia
    • Rationale:



The correct answer is B. Manifestations of hypocalcemia include numbness and tingling in the fingers, mouth, tongue and feet, as well as muscle aches, spasms of the muscles in the throat (leading to difficulty breathing), stiffening and spasms of muscles (tetany), seizures, and abnormal heart rhythms. The parathyroid glands do not participate in the balance of sodium or potassium. Magnesium balance depends upon the phosphorus level.

NCLEX TIP: Using critical thinking is recommended when reading priority questions. Recognizing key words in the answer choices will allow you to know how to choose the correct answer for the question. Go through each answer choice and decide is it: Maslow’s hierarchy, safety-related, or following the nursing process (ADPIE). Never complete a nursing action that is outside the scope of practice.

Learning Outcomes

Test Taking Tip

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