The nurse is caring for a patient after a parathyroidectomy related to hyperparathyroidism. the nurse should administer intravenous calcium gluconate if the patient exhibits which clinical manifestations?

A - Facial muscle spasms or laryngospasms
Nursing care for the patient following a parathyroidectomy includes monitoring for a sudden decrease in serum calcium levels causing tetany, a condition of neuromuscular hyperexcitability. If tetany is severe (e.g., muscular spasms or laryngospasms develop), IV calcium gluconate should be administered. Mild tetany, characterized by unpleasant tingling of the hands and around the mouth, may be present but should decrease over time without treatment. Decreased muscle tone, muscle weakness, and shortened QT interval are clinical manifestations of hyperparathyroidism.

Very hard to understand

the glands which are associated with each description is given below:

pancreas - is an endocrine and exocrine gland that secretes juices with enzymes for digestion. salivary glands- with protection and digestion in the mouth. liver- secretes bile for digestion.   lachrymal glands - secrete tears to moisten eyes and protect them from particles and infection.   sweat gland -regulates water, salt, and temperature. oil glands - to form a protective barrier on the skin.   goblet cells - secrete mucus for protection.