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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 A

Explanation

Choice A rationale:

Asking the client’s full name and date of birth is the most reliable method of identification.

Choice B rationale:

Verifying the client’s room number is not reliable because room assignments can change.

Choice C rationale:

Asking a family member to verify the client’s identity is not always possible or reliable.

Choice D rationale:

Checking the client’s name on the medication administration record (MAR) is important but should be done in conjunction with direct client identification.

A. Complete two cycles of compression/rescue breathing before attaching the automated external defibrillator (AED) B. Provide chest compressions at a rate of 100/min. C. Check for a brachial pulse. D. After a set of 50 compressions, give the client 2 rescue breaths.

Correct Answer is B

Explanation

Choice A rationale:

While it’s important to start CPR as soon as possible, the AED should be attached as soon as it’s available.

Choice B rationale:

The American Heart Association recommends providing chest compressions at a rate of 100-120/min during CPR.

Choice C rationale:

Checking for a brachial pulse is not a priority during CPR. The focus should be on providing chest compressions and rescue breaths.

Choice D rationale:

The correct ratio of compressions to breaths during CPR is 30:2, not 50:2.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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