A client is receiving D5 NSS via a peripheral IV. The client is prescribed to receive calcium gluconate (Kalcinate). The nurse knows that calcium should not be mixed with saline solution. What is the appropriate response from the nurse?
a. Ask the healthcare provider about changing the IV solution to 5% dextrose in water (D5W), because saline encourages calcium loss.
b. Do not give the medication because it is the wrong solution.
c. Report the healthcare provider immediately to the supervisor because it is the wrong solution.
d. Change the IV solution to D5W and report it later to the healthcare provider.
ANS: A
Asking the healthcare provider about changing the IV solution to 5% dextrose in water (D5W) is the correct action to take when administering IV calcium. Saline encourages calcium loss.
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