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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Potential Condition.

Based on the provided information, it's challenging to make a definitive diagnosis with the given laboratory results and clinical presentation. The client's symptoms, such as severe abdominal pain, vomiting, dyspnea, yellow sclera, dry mucous membranes, tachycardia, and positive Chvostek and Trousseau signs, suggest a complex clinical picture that requires further investigation and assessment. Action to Take 1: Notify the provider. Rationale: The client's condition appears to be critical and requires immediate medical attention. Notifying the provider will initiate a comprehensive evaluation and potential interventions. Action to Take 2: Withhold medication for diarrhea until the underlying cause is determined. Rationale: Diarrhea can be a symptom of various conditions, and administering medication without a clear diagnosis may mask important clinical information. Parameters to Monitor 1: Serum bicarbonate level.

Rationale:

Monitoring serum bicarbonate levels can help identify potential acid-base imbalances and assess the client's metabolic status, especially given the history of end-stage renal disease. Parameters to Monitor 2: Intake and Output. Rationale: Monitoring intake and output is essential to assess fluid balance and kidney function, especially in a client with end- stage renal disease and potential electrolyte imbalances.

A. Hypokalemia. B. Hypercalcemia. C. Hypovolemia. D. Hyperglycemia.

Correct Answer is D

Explanation

Choice A rationale:

Hypokalemia is not a direct adverse effect of dextrose 10% in water infusion. This solution does not contain potassium, and unless the patient already has low potassium levels or other contributing factors, it would not cause hypokalemia.

Choice B rationale:

Hypercalcemia is unrelated to dextrose 10% in water infusion. The solution does not contain calcium, and it would not lead to an increase in serum calcium levels.

Choice C rationale:

Hypovolemia, or low blood volume, is not typically associated with dextrose 10% in water infusion. However, if administered rapidly in large amounts, it could potentially cause fluid overload leading to hypervolemia.

Choice D rationale:

Hyperglycemia is a possible adverse effect of dextrose 10% in water infusion. The solution contains a high concentration of glucose, which can raise blood sugar levels if the body cannot adequately utilize or regulate the glucose. Regular monitoring of blood glucose levels is essential during such an infusion, especially in patients with diabetes or impaired glucose tolerance.

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The nurse is caring for a patient diagnosed with hypocalcemia. What additional assessments should the nurse include when caring for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is caring for a client who is receiving an IV infusion of dextrose 10% in water. The nurse should monitor the client for which of the following adverse effects?

Correct Answer is D

Explanation

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