A hospitalized child has been diagnosed with hyperthyroidism and has a calcium level of 6.8 mg/dL. Which action by the nurse takes priority?

A.
Administer calcium.
B.
Apply telemetry.
C.
Pad the side rails.
D.
Start an IV.


ANS: B
All actions are appropriate for this child. However, hypocalcemia can cause fatal cardiac dysrhythmias, and the child needs to be placed on telemetry monitoring so the nurse can assess and intervene immediately if this occurs.

Nursing

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A patient has undergone diagnostic testing and received a diagnosis of sinus bradycardia attributable to sinus node dysfunction. When planning this patient's care, what nursing diagnosis is most appropriate?

A) Acute pain B) Risk for unilateral neglect C) Risk for activity intolerance D) Risk for fluid volume excess

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Class 3 antiarrhythmic drugs work by blocking the:

A. efflux of potassium ions during the repolarization phase. B. influx of calcium ions during Phase 2 of the cardiac potential. C. adrenergic beta-1 receptors. D. influx of sodium ions during the depolarization phase.

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What condition specifically refers to involuntary, violent spasms of the large skeletal muscles of the face, neck, arms, and legs?

1. Seizures 2. Epilepsy 3. Convulsions 4. Anticonvulsant

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A concern for a nurse who is observing a client performing isometric exercises is if the client is:

A. Holding his or her breath while exerting B. Performing the exercises 4 times per day C. Tightening each muscle group for 8 seconds, then relaxing D. Repeating each exercise 8 to 10 times for each muscle group

Nursing