A nurse in the outpatient clinic is caring for a client with a serum calcium level of 7.5 mg/dL (8.5-10.2 mg/dL). What nursing intervention is most important when providing care for this client? (Select All That Apply).

Prepare the client for hemodialysis.

Initiate safety precautions to protect the client from injury.

Administer to the client prescribed calcium supplement.

Assess the client for tetany.

Educate the client to avoid foods that are high in calcium.

Answer and Explanation

Correct Answer : B,C,D

A. Hemodialysis is not indicated for a low calcium level unless associated with severe renal failure or other metabolic disturbances.

B. Safety precautions are important due to the risk of fractures or injury caused by weakened bones and muscle spasms related to hypocalcemia.

C. Administering prescribed calcium supplements is a key intervention to correct hypocalcemia.

D. Tetany, a sign of severe hypocalcemia, should be assessed as it can lead to muscle cramps and spasms.

E. Educating the client to avoid foods that are high in calcium would not be appropriate, as the client requires calcium to address the low levels.

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Correct Answer is C

Explanation

A. Beau's lines are horizontal depressions across the nail, unrelated to clubbing.

B. Koilonychia refers to spoon-shaped nails, not convexed nails.

C. Clubbing is a condition where the nails become convex and the angle between the nail bed and finger increases, often associated with chronic hypoxia or lung diseases like COPD.

D. Onycholysis is the separation of the nail from the nail bed, unrelated to convexed nails.

Correct Answer is ["1.5"]

Explanation

To prepare a dose of 6 mg of dexamethasone when you have a vial that contains 4 mg/ml, you need to calculate the volume required to achieve the total prescribed dose. The formula to use is: (Desired Dose) / (Concentration of Vial) = Volume to Administer. Plugging in the values: 6 mg / 4 mg/ml = 1.5 ml.

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A nurse in the outpatient clinic is caring for a client with a serum calcium level of 7.5 mg/dL (8.5-10.2 mg/dL). What nursing intervention is most important when providing care for this client? (Select All That Apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While completing a comprehensive assessment of a client who is admitted with chronic obstructive pulmonary disorder, the objective data revealed the client's nails appear convexed and wide with an angle greater than 160 degrees. How would the nurse document this finding?

Correct Answer is C

Explanation

The client has a prescription for dexamethasone 6 mg IV (intravenous) push STAT. Available is a vial of dexamethasone containing 4 mg/ml. The should draw how many milliliters into the syringe for the dos.

Correct Answer is ["1.5"]

Explanation

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