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 A

Explanation

A. The Snellen chart is the standard tool used to assess distant vision.

B. An otoscope is used to examine the ears, not vision.

C. A penlight is used for pupillary responses and not for vision testing.

D. The Rinne test assesses hearing, not vision.

A. Discharge from the eyes B. Presbyopia C. Cataracts D. Xanthelasma E. Macular degeneration

Correct Answer is ["B","C","D","E"]

Explanation

A. Discharge from the eyes is generally a symptom of infection or irritation and not a specific age-related condition.

B. Presbyopia is the age-related loss of near vision, common in older adults.

C. Cataracts, which involve clouding of the lens, are commonly seen with aging.

D. Xanthelasma is a condition in which yellowish deposits of fat form under the skin, usually around the eyes, and it is often seen in older adults.

E. Macular degeneration, which affects central vision, is a common condition in older adults.

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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

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