Author Question: A client is admitted with a bone tumor. The nurse finds the client weak and lethargic with decreased ... (Read 53 times)

oliviahorn72 · **on:** Jun 25, 2018

A client is admitted with a bone tumor. The nurse finds the client weak and lethargic with decreased deep tendon reflexes. What actions by the nurse are best? (Select all that apply.)

a. Assess the daily serum calcium level.
b. Consult the provider about a loop diuretic.
c. Institute seizure precautions for the client.
d. Instruct the client to call for help out of bed.
e. Place the client on a 1500-mL fluid restriction.

Question 2

A client with chronic osteomyelitis is being discharged from the hospital. What information is important for the nurse to teach this client and family? (Select all that apply.)

a. Adherence to the antibiotic regimen
b. Correct intramuscular injection technique
c. Eating high-protein and high-carbohydrate foods
d. Keeping daily follow-up appointments
e. Proper use of the intravenous equipment

SamMuagrove · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A, B, D
The client is exhibiting manifestations of possible hypercalcemia. This disorder is treated with increased fluids and loop diuretics. The nurse should assess the calcium level, consult with the provider, and instruct the client to call for help getting out of bed due to possible fractures and weakness. The client does not need seizure precautions or fluid restrictions.

Answer to Question 2

ANS: A, C, E
The client going home with chronic osteomyelitis will need long-term antibiotic therapyfirst intravenous, then oral. The client needs education on how to properly administer IV antibiotics, care for the IV line, adhere to the regimen, and eat a healthy diet to encourage wound healing. The antibiotics are not given by IM injection. The client does not need daily follow-up.