A client is admitted with a bone tumor. The nurse finds the client weak and lethargic with decreased deep tendon reflexes. What actions by the nurse are best? (Select all that apply.)
a. Assess the daily serum calcium level.
b. Consult the provider about a loop diuretic.
c. Institute seizure precautions for the client.
d. Instruct the client to call for help out of bed.
e. Place the client on a 1500-mL fluid restriction.
ANS: A, B, D
The client is exhibiting manifestations of possible hypercalcemia. This disorder is treated with increased fluids and loop diuretics. The nurse should assess the calcium level, consult with the provider, and instruct the client to call for help getting out of bed due to possible fractures and weakness. The client does not need seizure precautions or fluid restrictions.
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