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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Respiratory acidosis is characterized by a high PaCO2 and a low pH. The client’s ABG results do not match this pattern.
Choice B rationale:
Metabolic acidosis is characterized by a low HCO3 and a low pH. The client’s ABG results do not match this pattern.
Choice C rationale:
Respiratory alkalosis is characterized by a low PaCO2 and a high pH. The client’s ABG results do not match this pattern.
Choice D rationale:
Metabolic alkalosis is characterized by a high HCO3 and a high pH. The client’s ABG results match this pattern. Normal values for pH, PaCO2, and HCO3 are 7.35-7.45, 35-45 mm Hg, and 22-26 mEq/L respectively.
Correct Answer is C
Explanation
Choice A rationale:
Frozen dinners are often high in sodium, which can increase blood pressure, so they are not a good choice for someone with hypertension.
Choice B rationale:
Processed cheese products are also high in sodium, so they should be avoided.
Choice C rationale:
Seasoning food with herbs and spices is a healthy way to add flavor without adding sodium.
Choice D rationale:
Soy sauce is very high in sodium, so it should not be used as a marinade for meats.
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