The nurse is caring for a client who is 3-days postoperative. ...

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The nurse is caring for a client who is 3-days postoperative. Which intervention should the nurse implement to decrease the client's possibility of developing hypercalcemia?
 
  1. Measure vital signs every 4 hours.
  2. Assist the client to turn, cough, and deep breathe every 2 hours.
  3. Assist the client to ambulate around the room at least three times daily.
  4. Irrigate the client's nasogastric tube every 2 hours.

Question 2

After an assessment, the nurse determines that a client's sequential compression devices need to be removed. What will the nurse document about this client's status in the medical record?
 
  1. Client ambulating without assistance.
  2. Client complains of numbness, tingling, and leg pain with the sequential compression devices.
  3. Client requested devices to be removed.
  4. Client to wear sequential compression devices during sleep.

[brittanywood]

Answer to Question 1

Correct Answer: 3
Rationale 1: Measuring vital signs will not decrease the possibility of developing hypercalcemia.
Rationale 2: Turning, coughing, and deep breathing every 2 hours will not prevent the development of hypercalcemia.
Rationale 3: Hypercalcemia can occur from immobility. Ambulation of the client helps to prevent leaching of calcium from the bones into the serum.
Rationale 4: Irrigating the nasogastric tube every 2 hours is not going to prevent the development of hypercalcemia.

Answer to Question 2

Correct Answer: 2
Rationale 1: The devices should be worn as prescribed.
Rationale 2: The nurse should remove the devices if the client complains of numbness, tingling, or leg pain.
Rationale 3: The devices should be worn as prescribed.
Rationale 4: The devices should be worn as prescribed.

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TYSM

[diana chang]

Excellent