A nurse is caring for a client who has osteoporosis and is taking calcium carbonate. The nurse should monitor the client for which of the following adverse eﬀects?

Urinary retention

Tinnitus

Flank pain

Bradycardia

Answer and Explanation

The Correct Answer is C

The nurse should monitor the client for ﬂank pain as an adverse eﬀect of taking calcium carbonate. Calcium carbonate is a calcium supplement used to prevent or treat a calcium deficiency¹. One of the side eﬀects of calcium carbonate is the formation of kidney stones, which can cause ﬂank pain².

a. Urinary retention is not a common adverse eﬀect of calcium carbonate.
b. Tinnitus is not a common adverse eﬀect of calcium carbonate.
d. Bradycardia is not a common adverse eﬀect of calcium carbonate.

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Correct Answer is C

Explanation

The nurse should instruct the client to elevate the aﬀected ankle to the level of the heart. Elevation helps to reduce swelling and pain by promoting venous return and decreasing blood ﬂow to the injured area. This is an important part of the RICE (Rest, Ice, Compression, Elevation) method for treating sprains and strains.

a. The elastic compression dressing should not be applied so tight that it causes numbness in the toes and ankle.
b. The client should avoid placing weight on the aﬀected leg when walking until advised by a healthcare provider.
d. Heat should not be applied during the first 24 hours after a sprain as it can increase swelling and inﬂammation.

A. Absence of pulse B. Altered sensation of the toes C. Cool skin D. Pain relieved by narcotics E. Capillary refill 1 second

Correct Answer is ["A","B","C"]

Explanation

The nurse should identify absence of pulse, altered sensation of the toes, and cool skin as possible manifestations of compartment syndrome. Compartment syndrome is a serious condition that can occur following surgery or injury. It is characterized by increased pressure within a muscle compartment that can lead to decreased blood ﬂow and nerve damage.

Pain relieved by narcotics and capillary refill of 1 second are not manifestations of compartment syndrome. Pain relieved by narcotics is a normal response to pain medication. Capillary refill of 1 second is within the normal range and does not indicate compartment syndrome.

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A nurse is caring for a client who has osteoporosis and is taking calcium carbonate. The nurse should monitor the client for which of the following adverse eﬀects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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