A client with severe respiratory alkalosis manifested by numbness and tingling, palpitations, dyspnea, and a positive Trousseau's sign is being admitted to the unit
Which of the following preparations for this client would be a high priority for the nurse? 1. Ordering a regular diet for the client
2. Instituting seizure precautions for the client
3. Ask respiratory therapy to set up a mechanical ventilator
4. Providing educational material for the client's medical diagnosis
2. Instituting seizure precautions for the client
Rationale:
The client with a positive Trousseau's sign may have tetany and low calcium, making the client at risk for seizure activity. The safety of the client is a high nursing priority. Ordering the diet and instructing the respiratory therapist are done by the health care provider. Providing teaching for the client becomes a priority when the client is recovering from the illness.
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