While reviewing a client's laboratory results, a nurse notes a serum calcium level of 8.0 mg/dL. Which of the following actions should the nurse take?
Initiate diuretic therapy.
Implement seizure precautions.
Prepare the client for hemodialysis.
Administer phosphate.
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Tachycardia, or a rapid heart rate, is a common early sign of hypovolemic shock as the body tries to compensate for the decreased blood volume by increasing the heart rate.
Choice B rationale:
Diminished urine output is a sign of hypovolemic shock, but it is not typically an early sign.
Choice C rationale:
Cold, clammy skin is a sign of hypovolemic shock, but it is not typically an early sign.
Choice D rationale:
Unconsciousness is a late sign of hypovolemic shock, indicating severe blood loss and inadequate perfusion to the brain.
Correct Answer is ["50"]
Explanation
The correct answer is 50 gtt/min.
Calculation: First, calculate the total volume to be administered per minute: 400 mL / 8 hr = 50 mL/hr. Then, convert hours to minutes: 50 mL/hr * 1 hr/60 min = 0.833 mL/min. Finally, calculate the drip rate: 0.833 mL/min * 60 gtt/mL = 50 gtt/min.
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