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Author Question: A patient's low ionized calcium levels have necessitated an infusion of an IV calcium preparation. ... (Read 83 times)

pragya sharda

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on: Jul 23, 2018
A patient's low ionized calcium levels have necessitated an infusion of an IV calcium preparation. During the administration of this medication, the nurse should prioritize what assessment?
 
  A) Oxygen saturation levels
  B) Cardiac monitoring
  C) Assessment of cognition
  D) Assessment for visual changes

Question 2

An older adult resident of a long-term care facility has been prescribed calcium citrate to address her decreasing bone density.
 
  The nurse should review the resident's medication administration record knowing that what medication may decrease the effects of calcium? A) Hydrochlorothiazide
  B) Ibuprofen
  C) Prednisone
  D) Diltiazem (Cardizem)


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Smiles0805

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Reply #1 on: Jul 23, 2018
Answer to Question 1

B
Feedback:
Calcium imbalances can result in alterations in heart rate and rhythm; cardiac monitoring is thus necessary. The patient is less likely to experience alterations in respiratory function, cognition, or vision.

Answer to Question 2

C
Feedback:
Corticosteroids reduce the effects of calcium by various mechanisms. Thiazide diuretics have the opposite effect. NSAIDs and calcium channel blockers do not appreciably affect the pharmacokinetics of calcium supplements.


pragya sharda

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Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

bblaney

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Reply 3 on: Yesterday
Excellent

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