The nurse is caring for a patient with hypoparathyroidism. What actions should the nurse expect to perform to help this patient with a low calcium level?
Select all that apply.
1. administering calcium tablets as prescribed
2. arranging for a dietary consult regarding foods high in calcium
3. restricting fluids
4. administering intravenous IV calcium gluconate
5. administering calcimimetic
Correct Answer: 1, 2, 4
Treatment of hypoparathyroidism focuses on increasing calcium levels. Intravenous calcium gluconate is given immediately to reduce tetany. Long-term therapy includes supplemental calcium and increased dietary calcium. Fluids are not restricted in the treatment of hypoparathyroidism. Calcimimetic would reduce the amount of calcium in the body.
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An occupational health nurse is screening a group of workers for diabetes. What statement should the nurse interpret as suggestive of diabetes?
A) "I've always been a fan of sweet foods, but lately I'm turned off by them." B) "Lately, I drink and drink and can't seem to quench my thirst." C) "No matter how much sleep I get, it seems to take me hours to wake up." D) "When I went to the washroom the last few days, my urine smelled odd."
An appropriate nursing intervention for a patient who has acute low back pain and muscle spasms is to teach the patient to
a. keep both feet flat on the floor when prolonged standing is required. b. twist gently from side to side to maintain range of motion in the spine. c. keep the head elevated slightly and flex the knees when resting in bed. d. avoid the use of cold packs because they will exacerbate the muscle spasms.
A laboring patient tells the nurse that she needs to have a bowel movement. The nurse recognizes that the woman is most likely in which stage of labor?
a. Active first stage b. Second stage c. Third stage d. Fourth stage
Symptoms that indicate an adverse reaction to blood products include which of the following? (Select all that apply.)
a. Fever b. Skin rash c. Hypotension d. Cardiac arrest