The nurse administers calcium intravenously (IV) to the client. What will a key assessment by the nurse include?
1. Assess the serum glucose levels.
2. Assess the intravenous (IV) site.
3. Assess the serum potassium levels.
4. Assess for peripheral edema.
2
Rationale 1: The client's glucose levels will not be affected when receiving intravenous (IV) calcium.
Rationale 2: The intravenous (IV) site must be assessed, as extravasation may lead to necrosis of tissue at the insertion site.
Rationale 3: The client's serum potassium levels should not be affected when receiving intravenous (IV) calcium.
Rationale 4: The client should not develop peripheral edema when receiving intravenous (IV) calcium.
Global Rationale: The intravenous (IV) site must be assessed, as extravasation may lead to necrosis of tissue at the insertion site. The client's glucose and potassium levels will not be affected when receiving intravenous (IV) calcium. The client should not develop peripheral edema when receiving intravenous (IV) calcium.
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