A client has a calcium level of 14 mg/dL. Which intervention is the priority?
a. Forcing fluids to 2 L/day
b. Placing the client on a cardiac monitor
c. Assessing for Chvostek's sign every 2 hours
d. Administering IV calcium chloride
B
This client has hypercalcemia. Both forcing fluids and providing cardiac monitoring are appro-priate, but because calcium has significant cardiac effects, placing the client on a cardiac monitor takes priority. Assessing for Chvostek's sign and administering calcium would be appropriate for the client with hypocalcemia.
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A 4-week postpartum patient with mastitis asks the nurse if she can continue to breastfeed. What is the nurse's most helpful response?
a. "Stop breastfeeding until the infection clears." b. "Pump the breasts to continue milk production, but do not give breast milk to the infant." c. "Begin all feedings with the affected breast until the mastitis is resolved." d. "Breastfeeding can continue unless there is abscess formation."
The nurse is assessing victims of a building collapse. Ambulances are nearby and there is a shelter set up with carts, chairs, tables, and refreshments for the victims. The nurse is most likely working within which decontamination zone?
1. Cold 2. Warm 3. Control 4. Hot
Which of the following health care financing systems has a strong focus on the principle of autonomy?
a. Fee for service c. Universal health insurance b. Managed care d. Single payer systems
A mother questions the decreased effectiveness of methylphenidate (Ritalin), prescribed for her child's attention deficit-hyperactivity disorder (ADHD). Which nursing reply best addresses the mother's concern?
A. "The physician will probably switch from Ritalin to a central nervous system stimulant." B. "The physician may prescribe an antihistamine with the Ritalin to improve effectiveness." C. "Your child has probably developed a tolerance to Ritalin and may need a higher dosage." D. "Your child has developed sensitivity to Ritalin and may be exhibiting an allergy."