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Multiple Choice
A patient has a positive Chvostek sign. The nurse interprets this as a sign of which of the following conditions?
A
Hyperkalemia
B
Hypernatremia
C
Hypocalcemia
D
Hypoglycemia
Verified step by step guidance
1
Understand the Chvostek sign: It is a clinical test where tapping on the facial nerve near the cheek causes twitching of the facial muscles. This indicates neuromuscular excitability, often associated with electrolyte imbalances.
Recall the role of calcium in the body: Calcium is essential for stabilizing nerve and muscle function. Low calcium levels (hypocalcemia) increase neuromuscular excitability, leading to symptoms like muscle twitching or spasms.
Differentiate hypocalcemia from other conditions: Hyperkalemia (high potassium) affects cardiac and muscle function but does not typically cause facial twitching. Hypernatremia (high sodium) primarily impacts fluid balance and neurological symptoms like confusion. Hypoglycemia (low blood sugar) causes symptoms like dizziness and sweating, not neuromuscular excitability.
Connect hypocalcemia to the Chvostek sign: Hypocalcemia lowers the threshold for nerve activation, making the facial nerve more sensitive to stimulation, which explains the positive Chvostek sign.
Conclude that hypocalcemia is the correct interpretation of a positive Chvostek sign, as it directly correlates with increased neuromuscular excitability observed in this condition.