Final answer:
For a client with hypercalcemia secondary to bone metastasis, the nurse should increase oral fluids, implement seizure precautions, and observe for muscle weakness. Interventions mistakenly associated with hypocalcemia, like monitoring for Chvostek's sign and assessing for hyperactive reflexes, are not relevant for hypercalcemia management.
Step-by-step explanation:
The nurse is planning care for a client with hypercalcemia secondary to bone metastasis. In such situations, it is important to manage the elevated calcium levels to prevent complications. Appropriate interventions would include:
- Increase oral fluids to promote renal excretion of calcium.
- An oral airway is not related to hypercalcemia management, so placing an oral airway at the bedside is not a necessary intervention.
- Monitoring for Chvostek's sign is associated with hypocalcemia, not hypercalcemia, so it is not relevant in this case.
- Implement seizure precautions because hypercalcemia can lead to an increased risk of seizures.
- Assessing for hyperactive reflexes is not typical for hypercalcemia, as it can cause sluggish reflexes.
- Observe for muscle weakness, as hypercalcemia generally leads to muscle weakness, not hyperactive reflexes.