The nurse administers calcium intravenously (IV) to the client. ...

[09madisonrousseau09]

The nurse administers calcium intravenously (IV) to the client. What will a key assessment by the nurse include?
 
  1. Assess the serum glucose levels.
  2. Assess the intravenous (IV) site.
  3. Assess the serum potassium levels.
  4. Assess for peripheral edema.

Question 2

The client receives alendronate (Fosamax) as treatment for osteoporosis. Which symptoms, caused by an adverse effect of the medication, does the nurse teach should be reported to the physician?
 
  1. Ringing of the ears
  2. Hot and dry skin
  3. Vision changes and photophobia
  4. Muscle spasms and facial twitching

[frre432]

Answer to Question 1

Correct Answer: 2
Rationale 1: The client's glucose levels will not be affected when receiving intravenous (IV) calcium.
Rationale 2: The intravenous (IV) site must be assessed, as extravasation may lead to necrosis of tissue at the insertion site.
Rationale 3: The client's serum potassium levels should not be affected when receiving intravenous (IV) calcium.
Rationale 4: The client should not develop peripheral edema when receiving intravenous (IV) calcium.

Answer to Question 2

Correct Answer: 4
Rationale 1: Ringing of the ears is not associated with alendronate (Fosamax.)
Rationale 2: Hot and dry skin is not an adverse effect of alendronate (Fosamax).
Rationale 3: Vision changes and photophobia are not adverse effects of alendronate (Fosamax).
Rationale 4: Muscle spasms and facial twitching indicate a low calcium level, which can be caused by alendronate (Fosamax), and should be reported immediately before the client has seizures.