Medical Surgical Calcium Ca+ #2

Question

A client is admitted for treatment of hypercalcemia. Which finding will the nurse expect when assessing this client?

Answers

  1. Tetany
    • Rationale:

      This answer is not correct because tetany is associated with hypocalcemia, not hypercalcemia. Symptoms of hypercalcemia range from mild to severe and may include abdominal pain, bone pain, confusion, fatigue, increased thirst and urination, and muscle weakness.

  2. Muscle weakness
    • Rationale:

      This answer is correct because muscle weakness is a symptom of hypercalcemia. Other symptoms of hypercalcemia range from mild to severe and may include abdominal pain, bone pain, confusion, fatigue, increased thirst and urination.

  3. Hypoparathyroidism
    • Rationale:

      This answer is not correct because hypoparathyroidism is associated with hypocalcemia, not hypercalcemia. Symptoms of hypercalcemia range from mild to severe and may include abdominal pain, bone pain, confusion, fatigue, increased thirst and urination, and muscle weakness.

  4. Widened QRS complex
    • Rationale:

      This answer is not correct because a wide QRS complex is associated with hyperkalemia, not hypercalcemia. Symptoms of hypercalcemia range from mild to severe and may include abdominal pain, bone pain, confusion, fatigue, increased thirst and urination, and muscle weakness.

Overview

Hypercalcemia is a condition in which the serum calcium level is above normal. Symptoms of hypercalcemia range from mild to severe and may include abdominal pain, bone pain, confusion, fatigue, increased thirst and urination, and muscle weakness.

Explanation

Learning Outcomes

Hypercalcemia is most often caused by overactivity in the four tiny glands in the neck (i.e., parathyroid glands) or from cancer. Too much calcium in the blood can weaken bones, create kidney stones, and interfere with heart and brain function. Symptoms of hypercalcemia range from mild to severe and may include abdominal pain, bone pain, confusion, fatigue, increased thirst and urination, and muscle weakness.

Test Taking Tip

Consider the impact of calcium within the body and its systems to answer this question correctly.

Video Rationale