ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT FORM A
EXAM GRADED A+ LATEST UPDATE.
1. Electrolyte Imbalances: Identifying Manifestations of a Calcium Imbalance-
: Hypocalcemia:
- Level: <9 mg/dL
- Risk factors: Calcium deficit, diarrhea, end-stage kidney disease, wound drainage;
alkalosis, acute pancreatitis, immobility, parathyroid removal/damage
- S&S: Tetany (most common manifestation), paresthesia of the fingers and lips,
muscle twitches,
seizure, muscle spasms, hyperactive DTRs, positive Chvostek's sign (facial twitch-
ing), positive Trousseau's sign (hand/finger spasms with BP cuff inflation), cardio-
vascular irregularities, diarrhea, abdominal cramps
- Tx: Vitamin D supplements
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, - Complications: Cardiac arrest
2. Associated manifestation of Hypocalcemia: Positive Trousseau's sign
3. Associated manifestation of Hyperkalemia: ECG with tall, peaked t-waves
4. Associated manifestation of Hyponatremia: Bounding pulse
5. Associated manifestation of Hypokalemia: Hypoactive bowel sounds
6. The nurse is assessing the client for Chvostek's sign. Which of the following
actions should the nurse take?
a. Apply a BP cuff to the client's arm
b. Place a stethoscope bell over the client's carotid artery
c. Ask the client to lower their chin to their chest
d. Tap lightly on the client's cheek: d. Tap lightly on the client's cheek
Tap over the facial nerve just below and anterior to the ear to elicit Chvostek's sign.
A positive sign = Facial twitching on the side of the face
7. The nurse is assessing the client who reports nausea, vomiting, and weak-
ness. Which of the following findings are manifestations of hypocalcemia?
SATA
a. Tingling in fingers
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, b. Poor skin turgor
c. Abdominal pain
d. Elevated temperature
e. Muscle twitching: a, c, e
Numbness and tingling in fingers and toes, abdominal cramps and diarrhea, and
muscle twitching are manifestations of hypocalcemia.
8. Respiratory Diagnostic Procedures: Planning Care for a Client Who Is
Scheduled for a Thoracentesis: Preprocedure:
- Percussion, auscultation, radiography, or sonography is used to locate the effusion
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EXAM GRADED A+ LATEST UPDATE.
1. Electrolyte Imbalances: Identifying Manifestations of a Calcium Imbalance-
: Hypocalcemia:
- Level: <9 mg/dL
- Risk factors: Calcium deficit, diarrhea, end-stage kidney disease, wound drainage;
alkalosis, acute pancreatitis, immobility, parathyroid removal/damage
- S&S: Tetany (most common manifestation), paresthesia of the fingers and lips,
muscle twitches,
seizure, muscle spasms, hyperactive DTRs, positive Chvostek's sign (facial twitch-
ing), positive Trousseau's sign (hand/finger spasms with BP cuff inflation), cardio-
vascular irregularities, diarrhea, abdominal cramps
- Tx: Vitamin D supplements
mailto:https://www.stuvia.com/en-us/user/techgrades 1/
24
, - Complications: Cardiac arrest
2. Associated manifestation of Hypocalcemia: Positive Trousseau's sign
3. Associated manifestation of Hyperkalemia: ECG with tall, peaked t-waves
4. Associated manifestation of Hyponatremia: Bounding pulse
5. Associated manifestation of Hypokalemia: Hypoactive bowel sounds
6. The nurse is assessing the client for Chvostek's sign. Which of the following
actions should the nurse take?
a. Apply a BP cuff to the client's arm
b. Place a stethoscope bell over the client's carotid artery
c. Ask the client to lower their chin to their chest
d. Tap lightly on the client's cheek: d. Tap lightly on the client's cheek
Tap over the facial nerve just below and anterior to the ear to elicit Chvostek's sign.
A positive sign = Facial twitching on the side of the face
7. The nurse is assessing the client who reports nausea, vomiting, and weak-
ness. Which of the following findings are manifestations of hypocalcemia?
SATA
a. Tingling in fingers
mailto:https://www.stuvia.com/en-us/user/techgrades 2/
24
, b. Poor skin turgor
c. Abdominal pain
d. Elevated temperature
e. Muscle twitching: a, c, e
Numbness and tingling in fingers and toes, abdominal cramps and diarrhea, and
muscle twitching are manifestations of hypocalcemia.
8. Respiratory Diagnostic Procedures: Planning Care for a Client Who Is
Scheduled for a Thoracentesis: Preprocedure:
- Percussion, auscultation, radiography, or sonography is used to locate the effusion
mailto:https://www.stuvia.com/en-us/user/techgrades 3/
24
