Question

The nurse is checking the client for a positive Trousseau's sign. Which finding indicates a positive Trousseau's sign? A. Facial grimacing B. Carpopedal spasms C. Nuchal rigidity D. Abdominal tenderness

Short answer

Answer: Carpopedal spasms.

Step-by-step solution

Understand Trousseau's Sign

Trousseau's sign is a clinical test for detecting latent tetany, which can be indicative of hypocalcemia. It is performed by inflating a blood pressure cuff on the upper arm for a few minutes. A positive Trousseau's sign induces carpopedal spasms in the hand and fingers.

Analyze Each Option

A. Facial grimacing: This is not indicative of Trousseau's sign. It could be related to pain, discomfort, or other unrelated factors. B. Carpopedal spasms: These are muscle spasms in the hand and fingers, which may occur as a result of the Trousseau's sign test. This option matches the description of a positive Trousseau's sign. C. Nuchal rigidity: This is stiffness of the neck muscles, often associated with meningitis. It is not related to the Trousseau's sign test. D. Abdominal tenderness: This can be related to various abdominal issues but is not indicative of Trousseau's sign.

Select the Correct Answer

After analyzing each option, we can determine that option B, carpopedal spasms, is the correct answer. This is the only option that matches the description of a positive Trousseau's sign.