A nurse is assessing a client who has hypoparathyroidism. Which of the following findings should the nurse expect?

Choice A reason: Anorexia is not a hallmark symptom of hypoparathyroidism. While gastrointestinal symptoms may occur, they are not primary indicators of this endocrine disorder. Choice B reason: Flaccid muscles are more associated with hypercalcemia. Hypoparathyroidism leads to hypocalcemia, which typically causes muscle spasms, cramps, and tetany—not flaccidity. Choice C reason: A negative Chvostek's sign suggests normal neuromuscular function. In hypoparathyroidism, hypocalcemia often produces a positive Chvostek's sign due to increased neuromuscular excitability. Choice D reason: Numbness and tingling in the hands, fingers, and around the mouth are classic signs of hypocalcemia resulting from hypoparathyroidism. These paresthesias reflect neuromuscular irritability and are early indicators of electrolyte imbalance.