What symptom is least likely to occur in a client with hypocalcemia?

The symptom least likely to occur in a client with hypocalcemia is an increased level of consciousness. Hypocalcemia is characterized by low levels of calcium in the blood, which can lead to a variety of neurological and muscular symptoms. As calcium plays a crucial role in neuromuscular excitability and neurotransmission, low levels can contribute to increased muscle excitability, resulting in symptoms such as muscle twitching, spasms, and potentially seizures.

Additionally, hypocalcemia can affect cardiac function, leading to potential arrhythmias due to the role of calcium in cardiac muscle contraction and conduction pathways. A decreased level of consciousness can also occur, particularly if the hypocalcemia is severe, contributing to confusion or lethargy.

In contrast, an increased level of consciousness would not be associated with hypocalcemia, as the condition often manifests with signs of agitation or irritability rather than mental clarity or heightened awareness. Therefore, having an increased level of consciousness does not align with the symptoms typically seen in hypocalcemia.