select all that apply and why 7. A client is placed on Hypocalcemia precautions after removal...

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7. A client is placed on Hypocalcemia precautions after removal of the parathyroid gland. The LPN should observe the client f

select all that apply and why

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Answer 1

Answer #1

You may look for symptoms such as numbness, tingling, twitching and spasm of the muscles in post thyroidectomy patients. Hypocalcemia can occur after the removal of parathyroid gland. It can cause symptoms such as:

Paresthesia and numbness at fingertips and perioral area

muscle spasms

Cramps

Tetany in severe cases

circumoral numbness

Seizures

Laryngospasm

neuromuscular irritability

cognitive impairment

personality disturbances

prolonged QT intervals

electrocardiographic like myocardial infarction

heart failure

You may also notice in few patients:

Chvostek's sign: tapping on 7th cranial nerve causes twitching of the ipsilateral facial musculature (perioral, nasal, and eye muscles)

Trousseau's sign of latent tetany: inflation of blood pressure cuff around arm results in carpopedal spasm

Spontaneous muscle cramps or tetany is seen in severe cases when ionized Ca level lower than 1.1 mmol/L

It is treated with calcium and vitamin D supplements.

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Answer 2

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