A nurse is completing the 8-hr 1&0 record for a client who consumed 4 oz of clear soda, 1 piece of toast, 12 oz of water, 1 cup of fruit-flavored gelatin, and 1/2 cup of chicken broth.

The client also received 300 mL of 0.9% sodium chloride IV. The nurse should record how many mL of intake on the client's record? (Round the answer to the nearest whole number.)mL.

Choice A rationale:

Initiating diuretic therapy is incorrect because it would further decrease the client’s already low calcium level.

Choice B rationale:

Implementing seizure precautions is correct because hypocalcemia can cause neuromuscular irritability and seizures.

Choice C rationale:

Preparing the client for hemodialysis is incorrect because it is not the first-line treatment for hypocalcemia.

Choice D rationale:

Administering phosphate is incorrect because it would further decrease the client’s already low calcium level.

Choice A rationale:

Hyperventilation is a compensatory mechanism for metabolic acidosis, not a cause. It helps to eliminate carbon dioxide, a weak acid, to balance the pH.

Choice B rationale:

Diarrhea causes loss of bicarbonate, a base, from the body. This can lead to metabolic acidosis as there is an excess of acids.

Choice C rationale:

Salicylate intoxication can cause both respiratory alkalosis and metabolic acidosis. However, it is not the most common cause of metabolic acidosis.

Choice D rationale:

Vomiting leads to loss of gastric acid, a strong acid. This usually results in metabolic alkalosis, not acidosis.