Question

While reviewing a client's laboratory results, a nurse notes a serum calcium level of 8.0/dL. Which of the following actions should the nurse take?

1. Implement seizure precautions
2. Administer phosphate
3. Initiate diuretic therapy
4. Prepare the client for hemodialysis

Answer 1

The nurse should implement seizure precautions for a patient with a serum calcium level of 8.0 mg/dL, as it indicates hypocalcemia. This can lead to neuromuscular irritability and seizures, necessitating preventive measures. Administering phosphate would be contraindicated as it could worsen hypocalcemia.

Step-by-step explanation:

Upon reviewing a client's laboratory results and noting a serum calcium level of 8.0 mg/dL, the nurse should understand that the client is exhibiting hypocalcemia, a condition characterized by abnormally low levels of calcium in the blood. As calcium and phosphate levels typically show a reciprocal relationship, administering phosphate might further lower the serum calcium level, exacerbating the hypocalcemia. Considering the reference range for blood calcium levels is approximately 10 mg/dL, a level of 8.0 mg/dL is indicative of a deficit, which can cause issues with blood coagulation, muscle contraction, nerve functioning, and bone strength.

Given these facts, the most appropriate action would be to implement seizure precautions, as hypocalcemia can lead to neuromuscular irritability and potentially seizures. The other listed actions are not typically indicated for hypocalcemia and may be inappropriate without further evidence of related complications such as renal failure (hemodialysis) or volume overload (diuretic therapy).