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    Ati Lpn Comprehensive Predictor 2023 Proctored Exam

    A nurse is collecting data from a client who has hypercalcemia. Which of the following findings should the nurse expect?

    Explanation & Rationale

    A. Positive Trousseau's sign: Trousseau’s sign indicates neuromuscular excitability from hypocalcemia, not hypercalcemia. It manifests as carpal spasm when blood pressure is occluded, which is opposite of the expected effects of elevated calcium. B. Increased thirst: Hypercalcemia leads to osmotic diuresis and dehydration, stimulating thirst. Polyuria and polydipsia are common findings in clients with elevated serum calcium levels. C. Bone fractures: While chronic hypercalcemia caused by hyperparathyroidism can lead to bone weakening over time, "increased thirst" is a more immediate and common finding associated with the acute electrolyte imbalance itself. D. Muscle spasms: Muscle spasms and tetany are more characteristic of hypocalcemia due to increased neuromuscular excitability. Hypercalcemia typically causes muscle weakness rather than spasm.

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