Question

The nurse is taking a client's blood pressure and observes carpal spasm after the sphygmomanometer cuff is inflated. What action should the nurse implement next?

Answer 1

When carpal spasm is observed after inflating the blood pressure cuff, it indicates Trousseau's sign, which is associated with hypocalcemia. The nurse should notify the healthcare provider and further assessment and treatment can be initiated. This finding may indicate an electrolyte imbalance or an underlying medical condition.

Step-by-step explanation:

When a nurse observes carpal spasm after inflating the sphygmomanometer cuff during the blood pressure measurement, it indicates a condition called Trousseau's sign. Trousseau's sign is a manifestation of hypocalcemia, which can be caused by various conditions such as hypoparathyroidism or vitamin D deficiency.

Considering this observation, the nurse should implement the action of notifying the healthcare provider about the presence of carpal spasm. The healthcare provider can then further assess the client's condition, order relevant diagnostic tests to identify the underlying cause, and determine appropriate treatment.

It is important for the nurse to promptly address this finding as it may indicate an electrolyte imbalance or an underlying medical condition that requires medical intervention.