medium · NCLEX-RN Pharmacological and Parenteral Therapies
A client with chronic kidney disease (CKD) and a serum albumin of 2.5 g/dL (Reference: 3.5-5.0 g/dL) has a total serum calcium of 7.8 mg/dL (Reference: 9.0-10.5 mg/dL).
Which action should the nurse take first?
- Assess the client for Chvostek's and Trousseau's signs.
- Calculate the corrected calcium level using the supplied formula.
- Increase the rate of the client's maintenance 0.9% sodium chloride infusion.
- Notify the provider of the critical hypocalcemia and prepare for IV calcium replacement.
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