42.  A nurse is reviewing laboratory values and clinical sig…

42.  A nurse is reviewing laboratory values and clinical signs of a client with suspected fluid and electrolyte imbalances. Prioritize from 1 to 4, with one being the highest priority, the order in which the nurse should assess to ensure client safety? 1. Assess cardiac rhythm and vital signs to detect dysrhythmias related to electrolyte imbalances 2. Evaluate serum sodium levels to determine the severity of hyponatremia or hypernatremia 3. Check for muscle spasms and tetany to assess for hypocalcemia manifestations 4. Obtain a detailed intake and output record to evaluate fluid volume status

45. During an assessment, the nurse learns that an older cli…

45. During an assessment, the nurse learns that an older client has been taking twice the prescribed amount of calcium supplements. The client reports fatigue, constipation, and decreased appetite. Which nursing interventions are appropriate for this client? (Select all that apply.)

48. A nurse is caring for a client with fluid volume excess…

48. A nurse is caring for a client with fluid volume excess due to heart failure who exhibits bilateral crackles in lung fields, +2 pitting edema in lower extremities, bounding pulse, and oxygen saturation of 93%. Which nursing action should be immediately prioritized to improve the client’s condition?