A nurse is admitting a client who has a serum calcium level of 12.3 mg/dL and initiates cardiac monitoring. Which of the following findings should the nurse expect during the initial assessment?

Prolonged ST segment

Hyperactive bowel sounds

Lethargy

Hyperactive deep tendon reflexes

Answer and Explanation

The Correct Answer is C

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Correct Answer is B

No explanation

A. Ask an assistive personnel (AP) to verbalize the steps for removing an IV catheter. B. Research how to remove an IV catheter from the internet. C. Find an article in a nursing journal that is less than 5 years old on how to remove IV catheters. D. Review the facility's policies and procedures manual about removing IV catheters.

Correct Answer is D

Explanation

A.While an assistive personnel (AP) might assist with some tasks, they are not typically responsible for providing detailed procedural guidance on medical tasks. The nurse should seek guidance from established protocols and trained professionals.

B.While online resources can be helpful, they might not reflect the specific protocols or best practices of the facility. It's crucial to follow the facility’s policies and procedures to ensure consistency and compliance with organizational standards.

C.While reviewing current literature is beneficial for understanding best practices, the most immediate and relevant source of information is the facility's own policies and procedures. These documents will reflect the specific protocols that the facility requires.

D.Reviewing the facility's policies and procedures manual ensures that the nurse follows the specific guidelines and standards set by the institution. This approach aligns with organizational requirements and helps ensure that the procedure is performed correctly and safely within the context of the facility’s protocols.

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A nurse is admitting a client who has a serum calcium level of 12.3 mg/dL and initiates cardiac monitoring. Which of the following findings should the nurse expect during the initial assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is D

Explanation

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