Hypocalcemia refers to low levels of calcium in the blood. Twitching is a clinical manifestation of hypocalcemia and the nurse will be able to access this in the client. Other manifestations of hypocalcemia include: positive trousseau sign (chvosteks sign), hyperactive deep tendon reflexes, tetany, numbness and tingling sensations, muscle cramps, weak and brittle nails, depression, and seizures.
Option B is wrong because not negative, but positive trousseau sign is recorded in hypocalcemia.
Option C is wrong because hypocalcemia result in increased gut motility, causing a hyperactive bowel sounds and cramping diarrhea.
Option D is wrong because hyperactive seep tendon reflexes are clinical manifestation of hypocalcemia.
Twitching-rationale: signs of hypocalcemia include paresthesias followed by numbness, hyperactive deep tendon reflexes, and a positive trousseaus or chvosteks sign. additional signs of hypocalcemia include increased neuromuscular excitability, muscle cramps, twitching, tetany, seizures, irritability, and ansiety. gastrointestinal symptoms include increased gastric motility, hyperactive bowel sounds, abdominal cramping, and diarrhea.test-taking strategy: use the process of elimination, noting that options b, c, and d are comparative or alike in that they reflect a hypoactivity. the option that is different is option a. review the assessment signs and symptoms noted in hypocalcemia if you had difficulty with this question.