The nurse is caring for a client who lives alone and was found to ...

[Pineapplelove6]

The nurse is caring for a client who lives alone and was found to be confused and disoriented.
 
  The client has been taking medications improperly, and has elevated calcium levels from taking too many calcium supplements; elevated sodium and chloride levels from missing dosages of diuretics and excessive salt intake; and an elevated potassium level secondary to taking potassium supplements improperly. Which electrolyte imbalance is of greatest importance to correct? 1. Sodium
  2. Chloride
  3. Calcium
  4. Potassium

Question 2

The nurse is taking the blood pressure on an infant. The priority action is to:
 
  1. Avoid using the popliteal artery to get the BP.
  2. Explain that you are taking the infant's blood pressure.
  3. Use a cuff that covers two-thirds of surface involved.
  4. Anticipate a higher blood pressure on a small child.

[iceage]

Answer to Question 1

4
Rationale: While any electrolyte imbalance is serious and must be addressed, elevated potassium is of highest priority because it can cause cardiac rhythm anomalies, resulting in death, and must be quickly corrected. Elevated sodium, chloride, and calcium levels must be addressed, and can have serious consequences, but are not likely to be as serious as the elevated potassium.

Answer to Question 2

3
Rationale: Proper sizing of the blood pressure cuff is essential to an accurate reading, so the nurse should determine that two-thirds of the surface of the arm or leg is covered by the cuff.

[Pineapplelove6]

Both answers were spot on, thank you once again

[iceage]

Great! Please up vote