The nurse is caring for a patient diagnosed with hypocalcemia. What additional assessments should the nurse include when caring for this patient?
Drug toxicity.
Other electrolyte disturbances.
Hypertension.
Visual disturbances.
The Correct Answer is B
Other electrolyte disturbances.
Choice A rationale:
Drug toxicity is not directly related to hypocalcemia. The main concern in hypocalcemia is the calcium imbalance itself, not drug toxicity.
Choice B rationale:
Other electrolyte disturbances should be assessed because imbalances in other electrolytes, such as potassium and magnesium, are often associated with hypocalcemia. Electrolyte imbalances can interact and exacerbate each other, potentially leading to more severe complications.
Choice C rationale:
Hypertension is not a typical assessment finding in hypocalcemia. Hypertension is not directly related to calcium levels but may have other underlying causes.
Choice D rationale:
Visual disturbances are not commonly associated with hypocalcemia. Hypocalcemia is more likely to present with neuromuscular and cardiovascular symptoms, rather than visual disturbances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
Choice A rationale:
Romaine lettuce is a good dietary source of magnesium. Since the patient has a low serum magnesium level, suggesting foods rich in magnesium like romaine lettuce can help improve magnesium levels.
Choice B rationale:
Lean red meat is not a good suggestion for a patient with low magnesium levels. While it contains magnesium, it is not as rich in magnesium as some other food choices.
Choice C rationale:
Almonds are a good dietary source of magnesium and can be recommended to the patient with low magnesium levels to help increase their magnesium intake.
Choice D rationale:
White rice is not a significant source of magnesium and may not be helpful in improving the patient's low magnesium levels.
Choice E rationale:
Seafood is a good source of various nutrients but is not particularly rich in magnesium compared to other options like almonds and romaine lettuce. Thus, it may not be the best suggestion for the patient's low magnesium levels.
Correct Answer is B
Explanation
The correct answer is choice B) Administering sodium polystyrene sulfonate.
Choice A rationale:
Administering a potassium-sparing diuretic is not appropriate for a client with hyperkalemia (high potassium levels). Potassium-sparing diuretics would further increase potassium levels, worsening the condition.
Choice B rationale:
Sodium polystyrene sulfonate is used to treat hyperkalemia. It works by exchanging sodium ions for potassium ions in the intestines, which helps to lower serum potassium levels by excreting it through the stool.
Choice C rationale:
Initiating an IV potassium infusion would be contraindicated in this situation as it would increase the already elevated potassium levels, potentially leading to dangerous cardiac complications.
Choice D rationale:
Encouraging the client to eat bananas is not advisable because bananas are high in potassium, which would exacerbate hyperkalemia.
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