Medical Surgical Phosphate #5

Question

A client is admitted to the floor with massive diarrhea and positive for chvostek’s and trousseau’s sign. Which of these electrolyte imbalances would the nurse suspect the client is having?

Answers

  1. Hypercalcemia
    • Rationale:

      This answer is not correct because with hypercalcemia, the client might exhibit symptoms such as an upset stomach, nausea, vomiting, constipation, and bone pain. Hypercalcemia is an electrolyte imbalance caused from an excess of calcium in the blood.

  2. Hypocalcemia
    • Rationale:

      This answer is not correct because with hypocalcemia, the client might exhibit muscle cramps, confusion, depression, stiff achy muscles, and tingling in the lips. Hypocalcemia is an electrolyte imbalance caused by a lack of calcium in the blood.

  3. Hyperphosphatemia
    • Rationale:

      This answer is correct because hyperphosphatemia is an electrolyte imbalance caused by an excess amount of phosphorus in the blood. With hyperphosphatemia, the client may exhibit massive diarrhea and be positive for chvostek’s and trousseau’s signs.

  4. Hypophosphatemia
    • Rationale:

      This answer is not correct because hypophosphatemia is an electrolyte imbalance caused by a lack of phosphorus in the blood. The client might exhibit symptoms to include: loss of appetite, confusion, muscle weakness, irritability, and fatigue.

Overview

When a client is admitted with massive diarrhea and positive for chvostek’s and trousseau’s signs, the nurse should suspect that the electrolyte imbalance is hyperphosphatemia. Symptoms are much like hypocalcemia which include: itching all over, tetany, and bone and/or joint pain.

Explanation

Learning Outcomes

Hyperphosphatemia is an electrolyte imbalance caused by an excess amount of phosphorus in the blood. Chvostek’s sign is twitching of the facial muscles caused by tapping lightly on the facial nerve. Trousseau’s sign is when a carpopedal spasm appears caused by a blood pressure cuff being inflated over 20 mm/hg above the client’s systolic blood pressure for over three minutes. All are signs of hyperphosphatemia.

Test Taking Tip

Know the exam requirements for your test. Pick the exam time which works best for you. Avoid distractions when taking the test.

Video Rationale