Author Question: A nurse evaluates the following laboratory results for a client who has hypoparathyroidism: ... (Read 58 times)

burton19126

  • Hero Member
  • *****
  • Posts: 532
A nurse evaluates the following laboratory results for a client who has hypoparathyroidism:
 
  Calcium
  7.2 mg/dL
  Sodium
  144 mEq/L
  Magnesium
  1.2 mEq/L
  Potassium
  5.7 mEq/L
  Based on these results, which medications should the nurse anticipate administering? (Select all that apply.)
  a.
  Oral potassium chloride
  b.
  Intravenous calcium chloride
  c.
  3 normal saline IV solution
  d.
  50 magnesium sulfate
  e.
  Oral calcitriol (Rocaltrol)

Question 2

While assessing a client with Graves' disease, the nurse notes that the client's temperature has risen 1  F. Which action should the nurse take first?
 
  a. Turn the lights down and shut the client's door.
  b. Call for an immediate electrocardiogram (ECG).
  c. Calculate the client's apical-radial pulse deficit.
  d. Administer a dose of acetaminophen (Tylenol).



duke02

  • Sr. Member
  • ****
  • Posts: 312
Answer to Question 1

ANS: B, D
The client has hypocalcemia (treated with calcium chloride) and hypomagnesemia (treated with magnesium sulfate). The potassium level is high, so replacement is not needed. The client's sodium level is normal, so hypertonic IV solution is not needed. No information about a vitamin D deficiency is evident, so calcitriol is not needed.

Answer to Question 2

ANS: A
A temperature increase of 1  F may indicate the development of thyroid storm, and the provider needs to be notified. But before notifying the provider, the nurse should take measures to reduce environmental stimuli that increase the risk of cardiac complications. The nurse can then call for an ECG. The apical-radial pulse deficit would not be necessary, and Tylenol is not needed because the temperature increase is due to thyroid activity.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Children of people with alcoholism are more inclined to drink alcohol or use hard drugs. In fact, they are 400 times more likely to use hard drugs than those who do not have a family history of alcohol addiction.

Did you know?

Aspirin is the most widely used drug in the world. It has even been recognized as such by the Guinness Book of World Records.

Did you know?

This year, an estimated 1.4 million Americans will have a new or recurrent heart attack.

Did you know?

The people with the highest levels of LDL are Mexican American males and non-Hispanic black females.

Did you know?

Between 1999 and 2012, American adults with high total cholesterol decreased from 18.3% to 12.9%

For a complete list of videos, visit our video library