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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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

Metabolic acidosis would likely present with rapid, deep breathing (Kussmaul respirations), not slow and shallow breathing.

Choice B rationale:

The client’s symptoms of vomiting (which can cause a loss of stomach acid), dizziness, palpitations, and numbness and tingling in the extremities and around the mouth are consistent with metabolic alkalosis.

Choice C rationale:

Respiratory alkalosis would likely present with rapid breathing, not slow and shallow breathing.

Choice D rationale:

Respiratory acidosis would likely present with rapid, shallow breathing, not slow and shallow breathing.

A. Drop prescribed amount of medication into the conjunctival sac. B. Place the eyedropper gently against the sclera. C. Don sterile gloves to instill the medication. D. Gently rub the eye after instilling the medication.

Correct Answer is A

Explanation

Choice A rationale:

The medication should be dropped into the conjunctival sac, which is the space between the lower eyelid and the eyeball. This is the correct method for administering ophthalmic drops.

Choice B rationale:

The eyedropper should not touch any part of the eye, including the sclera, to avoid contamination and potential infection.

Choice C rationale:

It is not necessary to don sterile gloves when administering ophthalmic drops. Clean gloves or hand hygiene is sufficient.

Choice D rationale:

Rubbing the eye after instilling medication can cause irritation and may disperse the medication, reducing its effectiveness.

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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?

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