Exhibits

Which of the following is the most appropriate treatment for this patient. given the likely diagnosis of acute sinusitis?

A. The client who has renal failure: Renal failure can lead to hypocalcemia due to the kidneys' reduced ability to convert vitamin D to its active form, leading to decreased calcium absorption.

B. The client who is postoperative following a thyroidectomy: Hypocalcemia can occur after thyroidectomy if the parathyroid glands are inadvertently damaged or removed, as they regulate calcium levels.

C. The client who has hyperparathyroidism: Hyperparathyroidism typically leads to hypercalcemia, not hypocalcemia, as excessive parathyroid hormone (PTH) increases calcium levels in the blood.

D. The client who has vitamin D deficiency: Vitamin D is essential for calcium absorption in the intestines, so a deficiency can lead to hypocalcemia.

E. The client who is receiving bisphosphonate medications: Bisphosphonates inhibit bone resorption, which can lead to a decrease in calcium levels, potentially causing hypocalcemia.

F. The client who has Addison's disease: Addison's disease is primarily associated with electrolyte imbalances like hyponatremia and hyperkalemia, not hypocalcemia.

A. Provide mouth care: Mouth care is important for overall comfort and hygiene but is not the first step in preparing for chest percussion, vibration, and postural drainage. The priority is to prepare the client for the procedures that will aid in clearing lung secretions.

B. Cup hands and tap on the client's chest repeatedly: This action is part of chest percussion and should be performed after positioning the client correctly. Percussion should be done on the appropriate lung areas based on the positioning.

C. Auscultate lung fields: Auscultation of lung fields is essential for assessing lung sounds and determining the effectiveness of therapy. However, it should be done after positioning the client to ensure that the correct areas are being treated and assessed.

D. Position the client so that the lung area to be drained is above the client's trachea: Proper positioning is crucial for effective postural drainage, as it allows gravity to assist in moving secretions from the lung areas to the central airways. This should be done before performing chest percussion or vibration.