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    Ati Lpn Med Surg Electrolyte Proctored Exam(Delaware College)

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

    Explanation & Rationale

    A. Skeletal muscle weakness is more commonly associated with hypercalcemia, not hypocalcemia. B. Tetany, which includes involuntary muscle contractions, spasms, and cramping, is a classic sign of hypocalcemia due to increased neuromuscular excitability. Positive Chvostek and Trousseau signs may also be observed. C. Hypoactive bowel sounds are typically seen with hypercalcemia; hypocalcemia more often causes increased neuromuscular irritability rather than decreased gastrointestinal motility. D. Decreased deep-tendon reflexes occur with hypercalcemia or hypokalemia; hypocalcemia usually causes hyperactive reflexes.

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