Practice Quiz

CEN Practice Exam (Certified Emergency Nurse)

Category - Adult

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A thirty seven year old male is being treated for shock related to acute Pancreatitis. The patient states that he has Paresthesia around his fingers and mouth. The nurse observes that the patient’s wrists and foot are tremoring. When she applies the blood pressure cuff to the patient’s arm, the entire hand and arm has spasms. What abnormality is the patient exhibiting signs and symptoms of?
  1. Tetany
  2. Shock
  3. Chvostek’s sign
  4. Hypersensitivity reaction
Explanation
Answer: A - The abnormality the patient is exhibiting signs of is Tetany, a condition that occurs when serum calcium falls to low levels. The patient with acute Pancreatitis is at risk for Tetany because of the electrolyte imbalance that occurs when the pancreas is not functioning as normal.
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