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A nurse is caring for a client who is undergoing hemodialysis to treat end-stage kidney disease (ESKD). The client reports muscle cramps and a tingling sensation in their hands. Which of the following medications should the nurse plan to administer?

A) Furosemide
B) Epoetin alfa
C) Sevelamer
D) Calcium gluconate

User Brkeyal
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1 Answer

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Final answer:

Calcium gluconate should be administered to the client experiencing muscle cramps and tingling sensation in their hands due to end-stage kidney disease (ESKD).

Step-by-step explanation:

The nurse should plan to administer Calcium gluconate.

The client's symptoms of muscle cramps and tingling sensation in their hands indicate the possibility of hypocalcemia (low blood calcium levels). One common complication of end-stage kidney disease (ESKD) is impaired calcium absorption due to the loss of kidney function. Administering Calcium gluconate can help increase the blood levels of calcium and alleviate the symptoms.

Other options are not appropriate in this scenario. Furosemide is a loop diuretic that promotes the excretion of fluid and electrolytes and would not address the client's symptoms. Epoetin alfa stimulates red blood cell production and is used to treat anemia, which is not the primary concern in this situation. Sevelamer is a medication used to lower phosphate levels, which is not related to the client's symptoms of hypocalcemia.

User JxB
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