Six hours after initiation of the calcium gluconate infusion, C.P. is no longer complaining of numbness
around her mouth or tingling in her fingertips and toes. Chvostek and Trousseau signs remain negative.
Has C.P.
's status improved or not? Defend your response.
Although there has been an improvement in her symptoms, her laboratory levels of calcium are still
low, placing her at risk for redeveloping symptoms without continued treatment. Her low PTH level
confirms either damage or removal of the parathyroid gland.
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The nurse is counseling an adult client with fibromyalgia. What are some elements of counseling that can help this client develop effective coping skills?
Select all that apply. A) Teach the client strategies including distractions, relaxation techniques, a warm bath, or writing in a journal. B) Remind the client that the client has a progressive disease. C) Encourage the client to develop a strong support network of family and friends and to ask for help when needed. D) Inform the client that the client does not need to see a specialist. E) Suggest to the client that some symptoms may be psychosomatic.
The client with chronic renal failure complains of intense itching. Which assessment finding would indicate the need for further nursing education?
A) Pats skin dry after bathing B) Uses moisturizing creams C) Keeps nails trimmed short D) Brief, hot daily showers
The nurse is caring for an older adult patient who was admitted with a stage 3 pressure ulcer on the left heel and who also has a history of Parkinson disease and chronic renal failure
To mi-nimize the patient's risk of developing an iatrogenic illness, the nurse: a. uses sterile technique when changing the heel's dressings. b. reviews all the patient's medications for possible adverse reactions. c. instructs the patient to call for assistance when needing to go to the bathroom. d. assists the patient in choosing the appro-priate foods from the daily menu.
A 3-year-old child with human immunodeficiency virus (HIV) infection is being discharged from the hospital. The nurse is providing instructions to the mother regarding home care and infection control measures
Which of the following statements, if made by the mother, indicates a need for further education? 1. "I should discard any unused food immediately." 2. "If the nipple becomes soft and sticky, I will discard the nipple." 3. "I need to wash all vegetables carefully before preparing them." 4. "I should wash the eating utensils, baby bottle, and dishes in the dishwasher."