The nurse is caring for a patient who is receiving calcium gluconate for treatment of hypoparathyroid tetany. Which assessment would indicate an adverse reaction to the drug?
a. Increase in heart rate
b. Flushing of face and neck
c. Drop in blood pressure
d. Urticaria
ANS: C
Indications of an adverse effect of calcium gluconate are dyspnea, bradycardia, and hypotension.
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A client is receiving heparin by continuous IV infusion. Which of the following would be most appropriate for the nurse to do?
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Change 9/10 to a percent
1. 900% 2. 9% 3. 90% 4. 99%
A nurse is caring for a client hospitalized with botulism. The nurse obtains the following vital signs: temperature—99.8° F (37.6° C), pulse—100, respiratory rate—10 and shallow, and blood pressure—100/62 mm Hg
What action by the nurse is most appropriate? a. Allow the client rest periods without in-terruption. b. Stay with the client while another nurse calls the physician. c. Check the client's IV rate and document all findings. d. Help the client order appropriate food items from the menu.