Gastrointestinal Question #5

Question

The nurse caring for a client with acute pancreatitis notices a carpal spasm while assessing blood pressure. Which action will the nurse perform next?

Answers

  1. Call the health care provider for a blood glucose level STAT.
    • Rationale:
  2. Call the health care provider for a calcium level STAT.
    • Rationale:
  3. Call the health care provider for a potassium level STAT.
    • Rationale:
  4. Call the health care provider for amylase and lipase levels.
    • Rationale:

Overview

Explanation

Positive Trousseau’s sign that occurs with blood pressure action requires intervention and calcium levels. Hypocalcemia is prevalent in acute pancreatitis since 40-75% occur in acute pancreatitis. Blood glucose, potassium and amylase/lipase levels will not cause a positive Trousseau’s sign.

Learning Outcomes

Test Taking Tip

Video Rationale