Questions from Class

1. High potassium: hyperkalemia

2. Name 2 food sources that contain potassium: bananas, potatoes,
spinach, beans, tomatoes, broccoli
3. Normal lab values for sodium: 135-145 mEq
4. Respiratory Acid/Base regulation is controlled by what organ: lungs
5. What system regulates metabolic: kidneys. Not fast. takes hours.
Resp takes minutes
6. Hypoventilation is a result of: respiratory acidosis
7. Causes of hypoventilation: shock, systic fibrosis
8. Normal pH: 7.35-7.45
9. Greater than 7.45: alkalosis
10. Potassium level of 9: death
11. A patient is severly hypokalemic, going to give him 5 mg of
potassium IV push NO
12. What are symptoms of metabolic acidosis: kassmuals breathing
13. pH is sliding below 7.4 indicates: acidosis
14. Respirations Opposite Metabolic Equal
15. HCO3 is 22-26. If pH is 7.5 and HCO3 is 30, what will patient
exhibit: (metabolic alkalosis) nausea, vomiting, diarrhea, restlessness,
slow respirations, arrhythmias
16. pH is 7.49, PCO2 is 20, patient is experiencing: respiratory alkalosis
17. When checking pts EKG, I notice wide QRS, which resemble
tombstones, I suspect: hyperkalemia
18. It is important to monitor electrolytes because they are important
to the cardiac function of my client: true.
19. What chronic problems contributes to disorders of magnesium,
floride and phosphorus: alcohol.
20. Name one of the two signs which indicates calcium less than
4.0mg/dL: tresseaus and cheveks
21. Why do we use mag sulfate with cardiac pts? Increases
contractions
22. Its a very hot day, client complains of feeling clammy and exhibits
dry mucous membranes, what lab might you expect to be ordered?
Sodium and all
23. Pt just experienced thyroidectomy, what lab value should you keep
close eye on: calcium
24. ICF: intracellular fluid
25. What population experiences greatest volume turnover:
children/infants
26. Elderly clients experience blunted thirst: true.
27. Name ways the body discards fluid: urine, feces, insensible fluid,
lung, skin, sweat
28. Continual mingling of molecules in liquids, gases, or solids brought
about by random movement is: diffusion
29. Substances dissolved in a liquid are known as: solutes (example:
salt, sugar)
30. Movement of water across cell membrane from less concentrated
to more concentrated: osmosis
31. Charged particles: ions
32. What are positive ions: cations
33. Electrolytes are capable of conducting electricity: true
34. Negative ions: anions
35. The state which the body is able to maintain a balance:
homeostasis
36. The system primarily responsible for regulation of body fluids and
balance: kidneys
37. It is the end of the shift, youre responsible for clients I/O. For
breakfast, they drank coffee, 240 ml, juice, 120 ml, IV fluids there was
250 ml left when you came on, and 300 are left now, 50 ml antibiotic.
Foley drained 900 ml and 2 BMs: intake 1360, output is 900.
38. A client is complaining of muscle weakness, feeling irritable, and
very tired all the time. You notice the pt is on calan SR and lasix
diuretic; what lab value to look at: potassium, because diuretic pulls
potassium with it.
39. A nurse is caring for a client who is experiencing decrease in
sodium levels, what should nurses priority be on: safety b/c of altered
mental status
40. When caring for an adult client diagnosed with hyponatremia, the
nurse plans to restrict which of the following: water, sodium,
potassium, or floride water!
41. Which of the following could potassium levels would be greatest
concern to nurse of client taking furesimide: 5.0, 4.3, 3.4, 3.1. 3.1
42. Kayexelate could be given to a client with what imbalance: high
potassium
43. What type of diuretic pulls potassium: loop diuretic
44. What lab would nurse monitor for both cardiac and a premature
labor client: magnesium
45. A nurse is caring for an anorexic 16 year old, 50 year old alcoholic,
a 47 year old female with partial ectomy surgery, and 82 year old with
chronic renal failure, which is most at risk for hypermagnesium? 82
year old with renal
46. When comparing acidosis and alkalosis, what lab values would be a
priority to the nurse? pH
47. What action should the nurse take initially to avoid acid/base
imbalance when a client becomes anxious and starts to
hyperventilate? Breathe into paper bag, stop breathing fast, call for
help, breathe with them

Questions from a random website

1. A client with hypoparathyroidism complains of numbness and
tingling in his fingers and around the mouth. The nurse would assess
for what electrolyte imbalance?
A.Hyponatremia
B.Hypocalcemia
C.Hyperkalemia
D.Hypermagnesemia

2. The nurse evaluates which of the following clients to be at risk

for developing hypernatremia?
A.50-year-old with pneumonia, diaphoresis, and high fevers
B.62-year-old with congestive heart failure taking loop diuretics
C.39-year-old with diarrhea and vomiting
D.60-year-old with lung cancer and syndrome of inappropriate
antidiuretic hormone (SIADH)

3. A client is admitted with diabetic ketoacidosis who, with

treatment, has a normal blood glucose, pH, and serum osmolality.
During assessment, the client complains of weakness in the legs.
Which of the following is a priority nursing intervention?
A.Request a physical therapy consult from the physician
B.Ensure the client is safe from falls and check the most recent
potassium level
C.Allow uninterrupted rest periods throughout the day
D.Encourage the client to increase intake of dairy products and green
leafy vegetables.

4. A client with a potassium level of 5.5 mEq/L is to receive sodium

polystyrene sulfonate (Kayexalate) orally. After administering the drug,
the priority nursing action is to monitor
A.urine output.
B.blood pressure.
C.bowel movements.
D.ECG for tall, peaked T waves.

5. The nurse is caring for a client who has been in good health up
to the present and is admitted with cellulitis of the hand. The client's
serum potassium level was 4.5 mEq/L yesterday. Today the level is 7
mEq/L. Which of the following is the next appropriate nursing action?
A.Call the physician and report results
B.Question the results and redraw the specimen
C.Encourage the client to increase the intake of bananas
D.Initiate seizure precautions
6. A client is receiving an intravenous magnesium infusion to
correct a serum level of 1.4 mEq/L. Which of the following assessments
would alert the nurse to immediately stop the infusion?
A.Absent patellar reflex
B.Diarrhea
C.Premature ventricular contractions
D.Increase in blood pressure

7. A client with chronic renal failure reports a 10 pound weight loss

over 3 months and has had difficulty taking calcium supplements. The
total calcium is 6.9 mg/dl. Which of the following would be the first
nursing action?
A.Assess for depressed deep tendon reflexes
B.Call the physician to report calcium level
C.Place an intravenous catheter in anticipation of administering
calcium gluconate
D.Check to see if a serum albumin level is available

8. A client with heart failure is complaining of nausea. The client

has received IV furosemide (Lasix), and the urine output has been
2500 ml over the past 12 hours. The client's home drugs include
metoprolol (Lopressor), digoxin (Lanoxin), furosemide, and
multivitamins. Which of the following are the appropriate nursing
actions before administering the digoxin? Select all that apply.
A.Administer an antiemetic prior to giving the digoxin
B.Encourage the client to increase fluid intake
C.Call the physician
D.Report the urine output
E.Report indications of nausea

9. The nurse is caring for a bedridden client admitted with multiple

myeloma and a serum calcium level of 13 mg/dl. Which of the following
is the most appropriate nursing action?
A.Provide passive ROM exercises and encourage fluid intake
B.Teach the client to increase intake of whole grains and nuts
C.Place a tracheostomy tray at the bedside
D.Administer calcium gluconate IM as ordered

10. An older adult client admitted with heart failure and a sodium
level of 113 mEq/L is behaving aggressively toward staff and does not
recognize family members. When the family expresses concern about
the client's behavior, the nurse would respond most appropriately by
stating
A."The client may be suffering from dementia, and the hospitalization
has worsened the confusion."
B."Most older adults get confused in the hospital."
C."The sodium level is low, and the confusion will resolve as the levels
normalize."
D."The sodium level is high and the behavior is a result of
dehydration."

11. A client with a serum sodium of 115 mEq/L has been receiving
3% NS at 50 ml/hr for 16 hours. This morning the client feels tired and
short of breath. Which of the following interventions is a priority?
A.Turn down the infusion
B.Check the latest sodium level
C.Assess for signs of fluid overload
D.Place a call to the physician

13. A client is receiving intravenous potassium supplementation in

addition to maintenance fluids. The urine output has been 120 ml
every 8 hours for the past 16 hours and the next dose is due. Before
administering the next potassium dose, which of the following is the
priority nursing action?
A.Encourage the client to increase fluid intake
B.Administer the dose as ordered
C.Draw a potassium level and administer the dose if the level is low or
normal
D.Notify the physician of the urine output and hold the dose

14. The nurse should monitor for clinical manifestations of

hypophosphatemia in which of the following clients?
A.A client with osteoporosis taking vitamin D and calcium supplements
B.A client who is alcoholic receiving total parenteral nutrition
C.A client with chronic renal failure awaiting the first dialysis run
D.A client with hypoparathyroidism secondary to thyroid surgery

15. A client admitted with squamous cell carcinoma of the lung has
a serum calcium level of 14 mg/dl. The nurse should instruct the client
to avoid which of the following foods upon discharge? Select all that
apply.
A.Eggs
B.Broccoli
C.Organ meats
D.Nuts
E.Canned salmon

16. A client with pancreatitis has been receiving potassium

supplementation for four days since being admitted with a serum
potassium of 3.0 mEq/L. Today the potassium level is 3.1 mEq/L. Which
of the following laboratory values should the nurse check before
notifying the physician of the client's failure to respond to treatment?
A.Sodium
B.Phosphorus
C.Calcium
D.Magnesium

17. The nurse should include which of the following instructions to

assist in controlling phosphorus levels for a client in renal failure?
A.Increase intake of dairy products and nuts
B.Take aluminum-based antacids such as aluminum hydroxide
(Amphojel) with or after meals
C.Reduce intake of chocolate, meats, and whole grains
D.Avoid calcium supplements

18. A client with pneumonia presents with the following arterial

blood gases: pH of 7.28, PaCO2 of 74, HCO3 of 28 mEq/L, and PO2 of
45, which of the following is the most appropriate nursing intervention?
A.Administer a sedative
B.Place client in left lateral position
C.Place client in high-Fowler's position
D.Assist the client to breathe into a paper bag

19. A client with COPD feels short of breath after walking to the
bathroom on 2 liters of oxygen nasal cannula. The morning's ABGs
were pH of 7.36, PaCO2 of 62, HCO3 of 35 mEq/L, O2 at 88% on 2
liters. Which of the following should be the nurse's first intervention?
A.Call the physician and report the change in client's condition
B.Turn the client's O2 up to 4 liters nasal cannula
C.Encourage the client to sit down and to take deep breaths
D.Encourage the client to rest and to use pursed-lip breathing
technique

21. A client with renal failure enters the emergency room after
skipping three dialysis treatments to visit family out of town. Which set
of ABGs would indicate to the nurse that the client is in a state of
metabolic acidosis?
A.pH of 7.43, PCO2 of 36, HCO3 of 26
B.pH of 7.41, PCO2 of 49, HCO3 of 30
C.pH of 7.33, PCO2 of 35, HCO3 of 17
D.pH of 7.25, PCO2 of 56, HCO3 of 28

22. A client with a small bowel obstruction has had an NG tube

connected to low intermittent suction for two days. The nurse should
monitor for clinical manifestations of which acid-base disorder?
A.Respiratory alkalosis
B.Respiratory acidosis
C.Metabolic alkalosis
D.Metabolic acidosis

23. A client who suffers from an anxiety disorder is very upset, has a
respiratory rate of 32, and is complaining of lightheadedness and
tingling in the fingers. ABG values are pH of 7.48, PaCO2 of 29, HCO3
of 24, and O2 is at 93% on room air. The nurse performs which of the
following as a priority nursing intervention?
A.Monitor intake and output
B.Encourage client to increase activity
C.Institute deep breathing exercises every hour
D.Provide reassurance to the client and administer sedatives

24. Which of the following assessment findings would indicate to the

nurse that a client's diabetic ketoacidosis is deteriorating?
A.Deep tendon reflexes decreasing from +2 to +1
B.Bicarbonate rising from 20 mEq/L to 22 mEq/L
C.Urine pH less than 6
D.Serum potassium decreasing from 6.0 mEq/L to 4.5 mEq/L

25. A client who is admitted with malnutrition and anorexia

secondary to chemotherapy is also exhibiting generalized edema. The
client asks the nurse for an explanation for the edema. Which of the
following is the most appropriate response by the nurse?
A."The fluid is an adverse reaction to chemotherapy."
B."A decrease in activity has allowed extra fluid to accumulate in the
tissues."
C. "Poor nutrition has caused decreased blood protein levels, and fluid
has moved from the blood vessels into the tissues."
D."Chemotherapy has increased your blood pressure, and fluid was
forced out into the tissues."

26. A client with a recent thyroidectomy complains of numbness and

tingling around the mouth. Which of the following findings indicates the
serum calcium is low?
A.Bone pain
B.Depressed deep tendon reflexes
C.Positive Chvostek's sign
D.Nausea

27. A client recently diagnosed with syndrome of inappropriate

antidiuretic hormone (SIADH) complains of headache, weight gain, and
nausea. Which of the following is an appropriate nursing diagnosis for
this client?
A.Deficient fluid volume related to decreased fluid intake
B.Excess fluid volume related to increased water retention
C.Deficient fluid volume related to excessive fluid loss
D.Risk for injury related to fluid volume loss

28. The registered nurse is delegating nursing tasks for the day.
WHich of the following tasks may the nurse delegate to a licensed
practical nurse?
A.Assess a client for metabolic acidosis
B.Evaluate the blood gases of a client with respiratory alkalosis
C.Obtain a glucose level on a client admitted with diabetes mellitus
D.Perform a neurological assessment on a client suspected of having
hypocalcemia

29. A client who is post-gallbladder surgery has a nasogastric tube,

decreased reflexes, pulse of 110 weak and irregular, and blood
pressure of 80/50 and is weak, mildly confused, and has a serum of
potassium of 3.0 mEq/L. Based on the assessment data, which of the
following is the priority intervention?
A.Withhold furosemide (Lasix)
B.Notify the physician
C.Administer the prescribed potassium supplement
D.Instruct the client on foods high in potassium

30. The nurse is admitting a client with a potassium level of 6.0

mEq/L. The nurse reports this finding as a result of
A.acute renal failure.
B.malabsorption syndrome.
C.nasogastric drainage.
D.laxative abuse

31. Which of the following should the nurse include in the diet
teaching for a client with a sodium level of 158 mEq/L?
A.Pretzels
B.Baked chicken
C.Chicken bouillon
D.Baked potato
E.Baked ham

32. The nurse assesses a client to be experiencing muscle cramps,

numbness, and tingling of the extremities, and twitching of the facial
muscle and eyelid when the facial nerve is tapped. THe nurse reports
this assessment as consistent with which of the following?
A.Hypokalemia
B.Hypernatremia
C.Hypermagnesemia
D.Hypocalcemia
33. Which of the following should the nurse include when preparing
to teach a class on the regulation and functions of electrolytes?
A.Sodium is essential to maintain intracellular fluid water balance
B.Magnesium is essential to the function of muscle, red blood cells, and
nervous system
C.Less calcium is excreted with aging
D.Chloride is lost in hydrochloride acid

34. The nurse assists a client with a serum potassium of 3.2 mEq/L
to make which of the following menu selections? Select all that apply.
A.Baked cod
B.Ham and cheese omelet
C.Fried eggs
D.Baked potato
E.Spinach

35. The nurse evaluates which of the following clients to have

hypermagnesemia?
A.A client who has chronic alcoholism and a magnesium level of 1.3
mEq/L
B.A client who has hyperthyroidism and a magnesium level of 1.6
mEq/L
C.A client who has renal failure, takes antacids, and has a magnesium
level of 2.9 mEq/L
D.A client who has congestive heart disease, takes a diuretic, and has
a magnesium level of 2.3 mEq/L

36. The nurse is evaluating the serum laboratory results on the

following four clients. Which of the following laboratory results is a
priority for the nurse to report first?
A.A client with osteoporosis and a calcium level of 10.6 mg/dl
B.A client with renal failure and a magnesium level of 2.5 mEq/L
C.A client with bulimia and a potassium level of 3.6 mEq/L
D.A client with dehydration and a sodium level of 149 mEq/L

37. The registered nurse is delegating client assignments to

unlicensed assistive personnel. Which of the following clients does not
require additional monitoring and assessment and may be delegated to
unlicensed assistive personnel?
A.A client who has been experiencing diarrhea and has a serum
chloride level of 100 mEq/L
B.A client with renal failure who has a serum magnesium level of 3.0
mEq/L
C.A client who has experienced a fracture of the femur and has a
serum phosphate of 5.0 mg/dl
D.A client with dehydration who has a serum sodium level of 128
mEq/L

38. The client is admitted to a nursing unit from a long-term care

facility with a hematocrit of 56% and a serum sodium level of 152
mEq/L. Which condition would be a cause for these findings?
A.Overhydration.
B.Anemia.
C.Dehydration.
D.Renal failure.

39. The client who has undergone an exploratory laparotomy and

subsequent removal of a large intestinal tumor has a nasogastric tube
(NGT) in place and an IV running at 150 mL/hr via an IV pump. Which
data should be reported to the health care provider?
A.The pump keeps sounding an alarm that the high pressure has been
reached.
B.Intake is 1800 mL, NGT output is 550 mL, and Foley output 950 mL.
C.On auscultation, crackles and rales in all lung fields are noted.
D.Client has negative pedal edema and an increasing level of
consciousness.

41. The nurse writes the nursing problem of "fluid volume excess"
(FVE). Which intervention should be included in the plan of care?
A.Change the IV fluid from 0.9% NS to D5W.
B.Restrict the client's sodium in the diet.
C.Monitor blood glucose levels.
D.Prepare the client for hemodialysis.

42. The client is admitted with a serum sodium level of 110 mEq/L.
Which nursing intervention should be implemented?
A.Encourage fluids orally.
B.Administer 10% saline solution IVPB.
C.Administer antidiuretic hormone intranasally.
D.Place on seizure precautions.

43. The telemetry monitor technician notifies the nurse of the

morning telemetry readings. Which client should the nurse assess first?
A.The client in normal sinus rhythm with a peaked T wave.
B.The client diagnosed with atrial fibrillation with a rate of 100.
C.The client diagnosed with a myocardial infarction who has occasional
PVC.
D.The client with a first-degree AV block and a rate of 92.
44. The client post-thyroidectomy complains of numbness and
tingling around the mouth and the tips of the fingers. Which
intervention should be implemented first?
A.Notify the health care provider immediately.
B.Tap the cheek about two (2) centimeters anterior to the ear lobe.
C.Check the serum calcium and magnesium levels.
D.Prepare to administer calcium gluconate IVP.

45. Which statement best explains the scientific rationale for

Kussmaul's respirations in the client diagnosed with diabetic
ketoacidosis (DKA)?
A.The kidneys produce excess urine and the lungs try to compensate.
B.The respirations increase the amount of carbon dioxide in the
bloodstream.
C.The lungs speed up to release carbon dioxide and increase the pH.
D.The shallow and slow respirations will increase the HCO3 in the
serum.

46. The client is NPO and is receiving total parenteral nutrition (TPN)
via a subclavian line. Which precautions should the nurse implement?
Select all that apply.
A.Place the solution on an IV pump at the prescribed rate.
B.Monitor blood glucose every six (6) hours.
C.Weigh the client weekly, first thing in the morning.
D.Change the IV tubing every three (3) days.
E.Monitor intake and output every shift.

47. The client has received IV solutions for three (3) days through a
20-gauge IV catheter placed in the left cephalic vein. On morning
rounds the nurse notes the IV site is tender to palpation and a red
streak has formed. Which action should the nurse implement first?
A.Start a new IV in the right hand.
B.Discontinue the intravenous line.
C.Complete an incident record.
D.Place a warm washrag over the site.

48. The nurse and an unlicensed nursing assistant are caring for a
group of clients. Which nursing intervention should the nurse perform?
A.Measure the client's output from the indwelling catheter.
B.Record the client's intake and output on the I & O sheet.
C.Instruct the client on appropriate fluid restrictions.
D.Provide water for a client diagnosed with diabetes insipidus.

49. The client has been vomiting and has had numerous episodes of
diarrhea. Which laboratory test should the nurse monitor?
A.Serum calcium.
B.Serum phosphorus.
C.Serum potassium.
D.Serum sodium.

50. A nurse is reading a physician's progress notes in the client's

record and reads that the physician has documented "insensible fluid
loss of approximately 800 mL daily." The nurse understands that this
type of fluid loss can occur through:
A.The skin
B.Urinary output
C.Wound drainage
D.The gastrointestinal tract

51. A nurse is assigned to care for a group of clients. On review of

the clients' medical records, the nurse determines that which client is
at risk for deficient fluid volume?
A.A client with a colostomy
B.A client with congestive heart failure
C.A client with decreased kidney function
D.A client receiving frequent wound irrigations

52. A nurse caring for a client who has been receiving intravenous
diuretics suspects that the client is experiencing a deficient fluid
volume. Which assessment finding would the nurse note in a client
with this condition?
A.Lung congestion
B.Decreased hematocrit
C.Increased blood pressure
D.Decreased central venous pressure (CVP)

53. A nurse is assigned to care for a group of clients. On review of

the clients' medical records, the nurse determines that which client is
at risk for excess fluid volume?
A.The client taking diuretics
B.The client with renal failure
C.The client with an ileostomy
D.The client who requires gastrointestinal suctioning

54. The nurse is caring for a client with congestive heart failure. On
assessment, the nurse notes that the client is dyspneic and that
crackles are audible on auscultation. The nurse suspects excess fluid
volume. What additional signs would the nurse expect to note in this
client if excess fluid volume is present?
A.Weight loss
B.Flat neck and hand veins
C.An increase in blood pressure
D.A decreased central venous pressure (CVP)

55. A nurse is preparing to care for a client with a potassium deficit.

The nurse reviews the client's record and determines that the client
was at risk for developing the potassium deficit because the client:
A.Has renal failure.
B.Requires nasogastric suction.
C.Has a history of Addison's disease.
D.Is taking a potassium-sparing diuretic.

57. A nursing student needs to administer potassium chloride

intravenously as prescribed to a client with hypokalemia. The nursing
instructor determines that the student is unprepared for this procedure
if the student states that which of the following is part of the plan for
preparation and administration of the potassium?
A.Obtaining a controlled IV infusion pump
B.Monitoring urine output during administration
C.Diluting in appropriate amount of normal saline
D.Preparing the medication for bolus administration

58. A nurse instructs a client at risk for hypokalemia about the foods
high in potassium that should be included in the daily diet. The nurse
determines that the client understands the food sources of potassium if
the client states that the food item lowest in potassium is:
A.Apples
B.Carrots
C.Spinach
D.Avocado

59. A nurse caring for a group of clients reviews the electrolyte

laboratory results and notes a potassium level of 5.5 mEq/L on one
client's laboratory report. The nurse understands that which client is at
highest risk for the development of a potassium value at this level?
A.The client with colitis
B.The client with Cushing's syndrome
C.The client who has been overusing laxatives
D.The client who has sustained a traumatic burn

61. A nurse caring for a group of clients reviews the electrolyte

laboratory results and notes a sodium level of 130 mEq/L on one
client's laboratory report. The nurse understands that which client is at
highest risk for the development of a sodium value at this level?
A.The client with renal failure
B.The client who is taking diuretics
C. The client with hyperaldosteronism
D. The client who is taking corticosteroids
62. A nurse is caring for a client with acute congestive heart failure
who is receiving high doses of a diuretic. On assessment, the nurse
notes that the client has flat neck veins, generalized muscle weakness,
and diminished deep tendon reflexes. The nurse suspects
hyponatremia. What additional signs would the nurse expect to note in
this client if hyponatremia were present?
A. Dry skin
B. Decreased urinary output
C. Hyperactive bowel sounds
D. Increased specific gravity of the urine

63. A nurse is caring for a client with a nasogastric tube. Nasogastric

tube irrigations are prescribed to be performed once every shift. The
client's serum electrolyte results indicate a potassium level of 4.5
mEq/L and a sodium level of 132 mEq/L. Based on these laboratory
findings, the nurse selects which solution to use for the nasogastric
tube irrigation?
A. Tap water
B. Sterile water
C. Sodium chloride
D. Distilled water

64. A nurse is reviewing laboratory results and notes that a client's

serum sodium level is 150 mEq/L. The nurse reports the serum sodium
level to the physician and the physician prescribes dietary instructions
based on the sodium level. Which food item does the nurse instruct the
client to avoid?
A. Peas
B. Cauliflower
C. Low-fat yogurt
D. Processed oat cereals

65. A nurse is reviewing a client's laboratory report and notes that

the serum calcium level is 4.0 mg/dL. The nurse understands that
which condition most likely caused this serum calcium level?
A. Prolonged bed rest
B. Renal insufficiency
C. Hyperparathyroidism
D. Excessive ingestion of vitamin D

66. A nurse is assessing a client with a suspected diagnosis of

hypocalcemia. Which of the following clinical manifestations would the
nurse expect to note in the client?
A. Twitching
B. Negative Trousseau's sign
C. Hypoactive bowel sounds
D. Hypoactive deep tendon reflexes

69. A nurse reviews a client's laboratory report and notes that the
client's serum phosphorus level is 2.0 mg/dL. Which condition most
likely caused this serum phosphorus level?
A. Alcoholism
B. Renal insufficiency
C. Hypoparathyroidism
D. Tumor lysis syndrome

70. The nurse provides instructions to a client with a low magnesium

level about the foods that are high in magnesium and tells the client to
consume which foods? Select all that apply.
A. Peas
B. Oranges
C. Cauliflower
D. Peanut butter
E. Canned white tuna