The client with severe hypocalcemia is prescribed to receive an intravenous infusion of calcium chloride. Which nursing action or precaution is most specific for administration of this medication?

A. Observe container for presence of precipitates.
B. Monitor pulse oximetry every 15 minutes during administration.
C. Warm the IV solution to body temperature before administering.
D. Do not give this drug within 3 hours of phenytoin administration.


C
The manufacturer's instructions include that all parenteral calcium solutions should be warmed to body temperature before administration unless precluded by an emergency situation.

Nursing

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A newly married couple have presented to a genetics clinic for testing. The husband tells the nurse, "It took me weeks to convince her to do this. I know that she's the type of person who'd rather not know about future risks until they come true."

Based on the husband's statement, what nursing diagnosis most likely applies to the wife? A) Situational low self-esteem related to reluctance to have genetic testing B) Powerlessness related to results of genetic testing C) Ineffective health maintenance related to reluctance to have genetic testing D) Anxiety related to possible results of genetic testing

Nursing

A four-person family has had its poverty guidelines increased by $11,815 from 1986 to 2011. What does this adjusted poverty guideline imply?

A. Inflation has increased prices, requiring additional income to live. B. The economic climate in the United States is better. C. People receiving aid as a result of poverty guidelines are living better than before. D. Improvements in aid for people living under poverty guidelines have decreased poverty levels.

Nursing

A client is newly diagnosed with obsessive-compulsive disorder and spends 45 minutes folding clothes and rearranging them in drawers. Which nursing intervention would best address this client's problem?

A. Distract the client with other activities whenever ritual behaviors begin. B. Report the behavior to the psychiatrist to obtain an order for medication dosage increase. C. Lock the room to discourage ritualistic behavior. D. Discuss the anxiety-provoking triggers that precipitate the ritualistic behaviors.

Nursing

A patient has been treated for severe contact dermatitis on both arms with clobetasol propionate cream. At a follow-up visit, the primary care NP notes that the condition has cleared. The NP should:

a. prescribe triamcinolone cream for 2 weeks. b. recommend continuing treatment for 2 more weeks. c. discontinue the clobetasol and schedule a follow-up visit in 2 weeks. d. discontinue the clobetasol and recommend prn use for occasional flare-ups.

Nursing