A patient has a serum calcium level of 7.9 mg/dL. Which nursing interventions would be appropriate for this patient?
1. Treat tachycardia.
2. Monitor for the development of hypertension.
3. Place on seizure precautions.
4. Strain all urine.
5. Reorient as indicated.
3, 5
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On the second day of hospitalization for a 3-month-old brought in for treatment for gastroenteritis, the nurse makes all of the assessments listed below. Which assessment finding indicates ineffectiveness of treatment?
a. Weight loss of 4 ounces b. Dry mucous membranes c. Decreased skin turgor d. Depressed fontanelle
Which assessment finding on an African-American client should be reported to the primary nurse?
1. Pigmented bands on the fingernails 2. A pustule on the right hand 3. Red splinter hemorrhages on the nails 4. Keloid formation over an appendectomy scar
Why are sulfonylurea oral antidiabetic drugs not recommended for women who are breastfeeding?
a. They increase the risk of the infant developing type 2 diabetes. b. They can lower the infant's blood glucose to dangerous levels. c. They can cause the infant to develop an allergy to sulfa drugs. d. They are not eliminated by the infant's immature intestinal system.
A homeless adult patient presents to the emergency department. The nurse obtains the following vital signs: temperature 94.8° F, blood pressure 100/56, apical pulse 56, respiratory rate 12. Which of the vital signs should be addressed immediately?
a. Respiratory rate b. Temperature c. Apical pulse d. Blood pressure